13 Rekapan Amprahan Ranap Jan 2019

NO NAMA OBAT SATUAN HARGA
1 Acetyl cysteine/ N-asetil sistein kapsul 200 mg Kapsul 358.00

Adenosin triposfat disodium tablet 20 mg (ATP
2 Tablet 1,885.00
Dankos/Bio ATP)
3 Air untuk irigasi inf 1000 ml Botol 1000 ml 10,500.00
4 Akarbose tablet 100 mg Tablet 779.00
5 Albendazol tablet 400 mg Tablet 292.00
6 Alginate (Normal Setting Time) 500 gram 500 gram 133,100.00
7 Allilestrenol tablet kunyah 5 mg Tablet 1,617.00
8 Allopurinol tablet 100 mg Tablet 99.00
10 Alprazolam tablet 0.5 mg Tablet 88.00
11 Alteplase serb inj 50mg (Actilyse) Vial 4,250,000.00
12 Ambroksol sirup 15 mg/ml Btl 60 ml 3,036.00
13 Ambroksol tablet 30 mg Tablet 134.37
14 Amikasin injeksi 250 mg Vial 30,740.00
15 Aminofilin injeksi 24 mg/ml Ampul 2,789.00
16 Aminofilin tablet 200 mg Tablet 108.00
17 Amiodaron HCl tablet 200 mg (Kendaron) Tablet 1,027.00
18 Amiodaron injeksi 150 mg/3 ml (Kendaron / Tyarit) Ampul 8,700.00
19 Amitriptilin HCl tablet salut 25 mg Tablet 167.00
20 Amlodipin tablet 10 mg Tablet 93.00
22 Amoksisilin drop 100 mg/ml Btl/15 ml 13,500.00
23 Amoksisilin kapsul 250 mg Kapsul 195.00
24 Amoksisilin serbuk injeksi 1000 mg Vial 9,314.80
25 Amoksisilin sirup kering 125 mg / 5ml Botol 60 ml 2,445.00
26 Amoksisilin sirup kering forte 250 mg/5 ml Botol 60 ml 3,400.00
27 Amoksisilin tablet 500 mg Tablet 233.00
28 Ampisilin serbuk injeksi i.m./i.v.1000 mg/vial Vial 4,000.00
29 Analog Insulin long acting inj 100 UI/ml (Levemir) Flexpen disposible 3 ml 83,950.00
Analog insulin mix acting inj 100 UI/ml (Premix 30%
30 Insulin Aspart dan 70% Protaminated Insulin Aspart Flexpen disposible 3 ml 110,968.00
(Analogue))(Novomix)
Analog Insulin mix insulin Inj 100 UI/ml (Humalog mix

31 Flexpen disposible 3 ml 110,968.00
25 kwikpen)
Analog Insulin rapid acting Inj 100 UI/ml (Humalog
32 Pen 87,000.00
kwikpen)
Analog insulin rapid acting inj 100 UI/ml, vial/cartridge

33 disposible/penfill cartridge (Insulin Aspart (Analogue)) Flexpen disposible 3 ml 87,000.00
(Novorapid)
Analog insulin rapid acting injeksi 100 UI/ml,

34 vial/cartridge disposible/penfill cartridge (Insulin Pen 87,000.00
glulisine 100 IU/ml) (Apidra)
35 Analog Long Insulin Glargine 100 iu (Ezelin) Vial 83,950.00
Anastesi topikal menganddung Lidokain HCl 2.5%;
36 Tube 5 gr 41,580.00
Prilokain HCl 2.5% (Topsy Cream)
Antasida DOEN I tablet kunyah kombinasi Alumunium
37 Tablet 54.00
hidroksida 200 mg dan Magnesium hidroksida 200 mg
Antasida DOEN II suspensi kombinasi Alumunium

38 hidroksida 200 mg/5 ml dan Magnesium hidroksida Botol 60 ml 1,995.00
200 mg/5 ml
Anti Bakteri DOEN salep kombinasi Basitrasin 500

39 Tube 2,516.80
IU/g dan Polimiksin 10,000 IU/g
40 Anti Bisa Ular (ABU1) Vial/5 ml 479,996.00
41 Anti Rabies Serum / SAR (Hyper Rab) Buah 1,900,000.00
42 Antihemoroid DOEN Supp 3,167.00
Antimalaria DOEN kombinasi Pirimetamin 25 mg dan
43 Tablet 616.00
Sulfadoksin 500 mg
Antimigren tablet kombinasi Ergotamin Tartrat 1 mg
44 Tablet 173.00
dan Kofein 50 mg
Antiparkinson DOEN tablet kombinasi Benserazid 25
45 Tablet 1,030.00
mg dan Levodopa 100 mg (Levopar)
46 Aqua bidest 25 ml Ampul 2,860.00
47 Aqua bidest 500 ml Btl 500 ml 16,940.00
48 Aquadest 20 Liter ml 4.00
49 Aripiprazol tablet discmelt 10 mg (Abilify) Tablet 23,034.00
50 Asam asetil salisilat tablet 80 mg (Miniaspi) Tablet 99.00
51 Asam askorbat (vitamin C) injeksi 10 % Ampul 6,407.50
52 Asam askorbat (vitamin C) tablet 250 mg Tablet 159.00
54 Asam folat tablet 0,4 mg Tablet 52.00
55 Asam folat tablet 1 mg Tablet 70.00
56 Asam fusidat krim 20 mg/g (Acdat/Fucilex) Tube 4,699.00
Asam laktat dan glikogen adjuvan terapi dermatitis
anak (Lactacyd baby)
57 Btl/60 ml 17,823.00
58 Asam mefenamat tablet 250 mg Tablet 139.00

60 Asam Pipemidat tablet 400 mg Tablet 1,400.00
61 Asam Salisilat Serbuk gram 450.00
62 Asam traneksamat injeksi 100 mg/ml Ampul 2,489.00
63 Asam traneksamat injeksi 250 mg/ 5 ml Ampul 1,748.00
64 Asam traneksamat tablet 500 mg Tablet 940.00
65 Asam ursodeoksikolik kapsul 250 mg Tablet 2,139.00
66 Asam valproat sirup 250 mg/ml Btl 120 ml 15,789.00
67 Asetazolamid tablet 250 mg (Glauseta) Tablet 3,555.75
68 Asiklovir krim 5 % Tube 2,800.00
69 Asiklovir salep mata 30 mg Tube 19,900.00
70 Asiklovir tablet 200 mg Tablet 240.00
72 Atapulgit aktif tablet 600 mg Tablet 136.00
73 Atenolol tablet 100 mg Tablet 700.00
74 Atorvastatin tablet 20 mg Tablet 795.00
75 Atrakurium desilat injeksi 50 mg / 5 ml (Notrixum) Ampul 19,800.00
76 Atropin (sulfat) tetes mata 0,5 % (C. Tropine) Botol 5 ml 11,385.00
77 Atropin (sulfat) tetes mata 1 % (C. Tropine) Botol 5 ml 12,650.00
78 Atropin sulfat injeksi i.m./i.v./s.k. 0,25 mg/ml Ampul 1,595.00
79 Azitromisin kapsul 250 mg Kapsul 3,278.00
80 Azitromisin sirup kering 200 mg / 5 ml Botol 23,448.00
81 Azitromisin tablet 500 mg Tablet 1,778.00
82 Balance Salt Solution Steril 500 ml Softbag 500 ml 182,403.00
83 Barium Sulfat For Suspension Pot/3.5 Kg 712,800.00
Benzydamine HCL 7,5 mg/ml (Tantum Verde Oral
84 Botol 23,100.00
Rinse 60 ml)
85 Beraprost Natrium tablet 20 mcg (Dorner) Tablet 4,570.00
86 Betahistin mesilat tablet 6 mg Tablet 110.00
87 Betaksolol tetes mata 0,5 % (C. Tonor) MD 0,6 ml 5,297.60
88 Betametason krim 0,1 % (Sebagai Valerat) Tube 1,340.00
89 Betametason krim 0,5 mg/gram (Sebagai Valerat) Tube 3,350.00
90 Bisakodil suppositoria 10 mg (dewasa) (Dulcolax) Supp 5,370.00
91 Bisakodil suppositoria 5 mg (anak) (Dulcolax) Supp 5,670.00
92 Bisakodil tablet 5 mg Tablet 300.00
93 Bisoprolol tablet 2,5 mg (Concor) Tablet 597.00
94 Bisoprolol tablet 5 mg Tablet 236.00
95 Brinzolamide tetes mata 1 % (Azopt) Botol 3 ml 130,000.00
Bromheksin HCl sol for Inhalasi 2 mg/ ml (Bisolvon
96 Botol / 50 ml 72,864.00
sol)
97 Bromokriptin tablet 2,5 mg (Cripsa) Tablet 13,024.00
Budesonid formoterol 80/4.5 mcg 60 dosis (Symbicort
98 Dus, 1 Turbuhaler @ 120 dosis 125,840.00
80)
Budesonid respul / cairan inhaler 0,25 mg/ml
99 Respule 9,725.00
(Pulmicort)
100 Budesonid swinghaler 200 mcg/dosis (Obucort) Unit 103,000.00
Budesonid-formoterol (fixed combination) inhaler
101 Dus, 1 Turbuhaler @ 120 dosis 139,880.00
160/4,5 mcg (Symbicort 160)
102 Bupivacain HCl injeksi 0,5 % (P.V) Ampul 79,421.10
103 Cavit G Botol 190,000.00
104 Composite Bonding Tube 842,600.00
105 Composite Posterior-anterior Unit 371,250.00
106 Deksametason injeksi i.v. 5 mg/ml Ampul 1,097.00
107 Deksametason tablet 0,5 mg Tablet 44.00
108 Deksketoprofen injeksi 50 mg/ 2 ml Ampul 26,400.00
109 Dekstros 10, 1/5 NS Plastic Bottle 500 ml 15,939.00
110 Dental Stone (Prestia Blue) 1 Kg 42,350.00
111 Desogestrel tablet 75 mcg Box 28 Tablet 55,066.00
112 Desoksimetason krim 0,25 % Tube 10,400.00
113 Desoksimetason salep 0,2 % (Inerson) Tube 15,950.00
114 Devitalisasi pasta (non arsen) (Septodont) Unit 1,485,000.00
115 Diazepam injeksi 5 mg/ml Ampul 1,735.00
116 Diazepam rektal 10 mg (Stesolid) Rectal Tube 18,279.00
118 Diazepam tablet 2 mg Tablet 45.00
120 Difenhidramin injeksi 10 mg/ml Ampul 1,095.00
121 Digoksin injeksi 0,25 mg/ml Ampul 25,300.00
122 Digoksin tablet 0,25 mg Tablet 104.00
123 Diltiazem HCl tablet 30 mg Tablet 127.00
124 Diltiazem injeksi 50 mg (Herbesser) Ampul 154,400.00
125 Diltiazem kapsul SR 100 mg (Herbesser CD) Tablet 4,460.00
126 Dimenhidrinat tablet 50 mg Tablet 99.00
127 Dinatrium edetat tetes mata 0,35 % (C.EDTA TM) Btl 15 ml 37,500.00
128 Dioctahedral Smectite serbuk (Smecta) Sachet 3,080.00
129 Divalproex natrium tablet 250 mg (Depakote) Tablet 1,200.00
Divalproex natrium tablet lepas terkendali 500 mg
130 Tablet 5,928.00
(Depakote ER)
131 Dobutamin injeksi 50 mg/ml Ampul 11,279.00
132 Doksazosin mesilat tablet 2 mg (Cardura) Tablet 5,480.00
133 Doksisiklin kapsul 100 mg Tablet 264.00
134 Domperidon sirup 5 mg/5 ml Botol 2,700.00
135 Domperidon tablet 10 mg Tablet 85.00
136 Donepezil HCl tablet 5 mg Tablet 6,600.00
137 Donepezil tablet Effervesent 10 mg (Aricept ) Tablet 12,485.00
138 Dopamin injeksi 40 mg/ml (Cetadop) Ampul 6,160.00
Drop mengandung : 115,4 mg Sodium
139 Feredetate setara dengan 15 mg besi elemen (Ferriz Botol 15 ml 24,750.00
Drop)
Drop mengandung Vit A 2000iu, vit B1

1mg, vit B2 1,2 mg,Vit B6 1 mg, vit B12 2 mcg,
140 Drop 29,040.00
vit c 30 mg, vit D 400iu, nikotamid 10 mg, lysin HCl 25
mg,panthothenol 5 mg (Apialys)
141 Dutasterid kapsul lunak 0,5 mg (Avodart) Tablet 4,700.00

142 Efavirenz tablet 200 mg Tablet 2,940.00
144 Efedrin HCl injeksi 50 mg/ml Ampul 8,569.00
145 Endomethason Pasta (Septodont) Btl 14 gr 565,125.00
Enema mengandung Monobasic sodium fosfat dan
146 Botol/133 ml 85,469.00
Dibasic sodium fosfat (Fleet)
147 Eperison HCl tablet 50 mg Tablet 1,092.63
148 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) Ampul 1,408.00
149 Erdostein kapsul 300 mg (Vostrin) Kapsul 2,763.75
150 Erdostein sirup 175 mg/5 ml Botol 33,000.00
Ergokalsiferol (vitamin D3/D2) sirup 50.000 UI/ml (D-
151 Botol 650.00
vit)
152 Eritromisin sirup 200 mg/ 5 ml Botol 7,700.00
153 Eritromisin Tablet 500 mg Tablet 750.00
154 Eritropoetin-alfa injeksi 2000 UI/ml (Eprex) Prefiled syringe 99,000.00
155 Eritropoetin-alfa injeksi 3000 UI/ml (Hemapo) Ampul 93,500.00
156 Escitalopram tablet 10 mg (Cipralex) Tablet 18,660.40
157 Etakridin larutan 0,1 % Botol 3,520.00
158 Etambutol tablet 250 mg Tablet 359.00
160 Etamsilat injeksi 250 mg/2 ml (Dycinone) Ampul 38,646.67
161 Etamsilat tablet 500 mg (Dycinone) Tablet 11,594.00
162 Etanol cairan 70 % Btl 100 ml 2,500.00
163 Etanol cairan 95 % ml 56.00
164 Etching Gel Botol 183,700.00
165 Etil klorida spray Botol 220,000.00
166 Etinilestradiol tablet 0,05 mg (Lynoral) Tablet 1,360.00
167 Eugenol cairan Botol 74,250.00
168 Faktor IX Kompleks 500 iu/vial (Octanine) Vial 4,620,000.00
169 Faktor VIII serb inj 230-340 IU (Haemoctin 250) Vial 950,000.00
Faktor VIII serbuk injeksi 500 iu + pelarut 5 ml
170 Vial 1,900,000.00
(Octanate 500 iu)
171 Feksofenadin HCl tablet 120 mg (Telfast OD) Tablet 8,171.90
172 Feksofenadin HCl tablet 30 mg (Telfast 30) Tablet 3,080.00
173 Fenitoin injeksi 50 mg/ml Ampul 3,738.00
174 Fenitoin kapsul 100 mg Kapsul 158.00
175 Fenobarbital injeksi i.m/i.v 50 mg/ml Ampul 1,857.00
176 Fenobarbital tablet 30 mg Tablet 171.00
177 Fenofibrat kapsul 100 mg Kapsul 1,116.00
179 Fenoksimetil Penisilin tablet 500 mg Tablet 629.00
180 Fenol Kristal Gram 74.00
181 Fenoterol HBr inhaler 100 mcg/puff (Berotec MDI) Box, canister 10mL 83,190.00
182 Fentanil injeksi i.m/i.v 0,05 mg/ml Ampul/2 ml 41,600.00
183 Finasterid tablet 5 mg (Finpro) Tablet 2,090.00
184 Fitomenadion (Vitamin K1) tablet salut gula 10 mg Tablet 710.00
185 Fitomenadion injeksi 10 mg/ml Ampul 4,290.00
187 Flufenazin injeksi i.m 25 mg/ml (Sikzonate) Ampul 59,800.00
188 Flukonazol larutan infus 2 mg/ml Botol 36,300.00
189 Flukonazol tablet 150 mg Tablet 18,000.00
190 Flunarizin tablet 5 mg Tablet 962.50
191 Fluoksetin tablet 10 mg (Foransi) Tablet 419.00
192 Fluoksetin tablet 20 mg (Prestin/Elizac) Tablet 2,017.00
193 Fluorometolon Tetes mata 0,1% (Ocuflam) Botol 5 ml 28,500.00
194 Fluorometolon tetes mata 1 mg (C. Posop) MD 0.6 ml 10,626.00
195 Fluorourasil injeksi 500 mg / 5 ml (Curacil) Vial 36,050.00
196 Flutikason furoat intranasal spray (Avamys) Botol 107,120.00
197 Flutikason propionat nebules 0,5 mg (Flixotide) Nebules 14,929.00
198 Fondaparinuks injeksi 2,5 mg/0,5 mL (Arixtra) Pfs 0,5 mL 248,950.00
199 Formalin sol. Liter 19,000.00
200 Formalin tablet Tablet 300.00
Fructus schizandrae (extract siccum) kapsul 7,5 mg
201 Kapsul 4,537.50
Hepatoprotektor (Hp Pro)
202 Furosemid injeksi i.v./i.m.10 mg/ ml Ampul 1,333.00
203 Furosemid tablet 40 mg Tablet 85.00
204 Gabapentin kapsul 100 mg Kapsul 1,045.00
Garam oralit kombinasi nNtrium klorida 0,52 g dan
206 Kalium klorida 0,30 g dan Trinatrium sitrat 0,58 g dan Sachet 342.00
Glukosa anhidrat 2,7 g
Gel mengandung Placenta extract 10 % dan

207 Tube 14,993.00
neomycin sulfate 5 mg gel (Bioplacenton)
208 Gemfibrozil kapsul 300 mg Kapsul 371.00
209 Gentamisin injeksi 80 mg/2 ml Ampul 3,509.00
210 Gentamisin salep kulit 0,1 % Tube 1,743.39
211 Gentamisin sulfat salep mata 0,3 % Tube @ 3,5 gr 2,675.00
212 Gentamisin sulfat tetes mata 3 mg Botol 4,232.00
213 Gentian violet larutan 1% Botol 10 ml 3,300.00
214 Glass ionomer cement ART Set/botol 521,235.00
215 Glass ionomer cement ART A2 (15 gram) Set/botol 720,000.00
217 Glibenklamida tablet 5 mg Tablet 119.00
218 Gliklazid tablet 80 mg (Glucodex) Tablet 235.00
219 Gliklazid tablet lepas lambat 60 mg (Diamicron) Tablet 3,014.00
220 Glimepirid tablet 1 mg Tablet 265.00
223 Glipizid tablet 5 mg Tablet 4,441.10
224 Gliquidon tablet 30 mg Tablet 1,000.00
225 Gliseril guaikolat tablet 100 mg (Guafenesin) Tablet 76.19
226 Gliseril trinitrat injeksi 5 mg/ml (DBL) Ampul 127,500.00
227 Gliseril trinitrat kapsul SR 2,5 mg (Nitrokaf retard) Kapsul 1,560.00
228 Gliseril trinitrat kapsul SR 5 mg (Nitrokaf forte) Tablet 2,402.00
229 Gliseril trinitrat tablet sublingual 0,5 mg (Nitral) Tablet 1,500.00
230 Gliserin anhidrat tetes mata 3 mg (C. Opthalgon) Botol 5 ml 11,797.50
231 Gliserin DOW Botol 250,000.00
232 Glukosa larutan infus 10 % steril botol @ 500 ml 7,500.00
233 Glukosa larutan infus 40% steril Ampul 25 ml 9,009.00
234 Glukosa larutan infus 5 % steril Kolf /500 ml 6,900.00
235 Glukosa larutan infus 5% steril 100 ml Botol 7,700.00
236 Glukosamin HCl tablet 500 mg Tablet 1,197.63
237 Glukosamin krim Tube/30 gram 62,538.00
238 Griseofulvin micronized tablet 125 mg Tablet 263.74
239 Griseofulvin micronized tablet 500 mg Tablet 1,774.20
240 Griseofulvin tablet 250 mg Tablet 1,705.00
241 Gutta Percha No. 45-80 box 77,440.00
242 Gutta Percha No.15-40 box 77,440.00
243 Haloperidol drop 2 mg / ml (Lodomer) Btl/15 ml 18,700.00
244 Haloperidol injeksi 5 mg/ml (Lodomer) Ampul 4,000.00
245 Haloperidol injeksi 50 mg/ml (Haldol) Ampul 101,300.00
246 Haloperidol tablet 0,5 mg Tablet 59.00
248 Haloperidol tablet 5 mg Tablet 56.00
249 Heparin injeksi 5000 UI/ml Vial 43,995.00
250 Heparin Natrium 200 iu/gr jeli (Thromboflash) Tube 35,200.00
251 Hepatitis B Immunoglobulin (Hyperhep B) Buah 1,325,000.00
252 Hidrogen Peroksida 50% ml 55.00
253 Hidroklortiazid tablet 25 mg Tablet 155.00
254 Hidrokortison krim 1 % Tube 2,787.00
255 Hidrokortison krim 2,5 % Tube 2,475.00
Hidroksil etil starch (HES) larutan infus 6 % BM 130
256 Botol 24,684.00
(Voluven)
257 Hiosin butil bromid injeksi 20 mg/ml Ampul 8,800.00
258 Hiosin butil bromid tablet 10 mg (Hyorex) Tablet 1,122.00
259 Homatropin (HBr) tetes mata 2% (C. Homatro) Botol 5 ml 35,926.00
260 Human Albumin 20 % 50 ml Botol 50 ml 409,200.00
261 Human Albumin 25 % 100 ml Botol 100 ml 1,510,000.00
263 Human insulin Glargine injeksi 100 IU/ml (Lantus) Pen @ 3 ml 83,950.00
Human insulin intermediate acting inj 100 UI/ml, vial
264 Dus, 1 Vial @ 5 ml 138,000.00
(Insulin Human Basal)(Humulin N)
Human insulin short acting injeksi 100 UI/ml, vial
265 Vial 144,763.00
(Actrapid)
Human tetanus imunoglobulinn injeksi i.m. 250 UI
266 Prefilled syringe 176,800.00
(Tetagam)
267 Ibuprofen suppositoria 125 mg (Proris) Supp 5,170.00
268 Ibuprofen suspensi 100 mg/5 ml Botol 2,365.00
269 Ibuprofen tablet 200 mg Tablet 105.00
271 Imidapril tablet 10 mg (Tanapress) Tablet 4,735.00
Inhaler mengandung Salmeterol 25 mcg; Flutikason
273 Botol 120 dosis 103,817.00
propionat 100 mcg (Seretide inhaler)
Inhaler mengandung Salmeterol 50 mcg; Flutikason
274 Foil strip 60 dosis 116,687.00
propionat 250 mcg (seretide inhaler)
Injeksi mengandung Bupivakain injeksi 0,50 % (HCl)
275 Ampul 50,050.00
dan Glukosa 8% (Regivell)
Injeksi mengandung Fursutiamin HCl 25 mg/ml dan
276 Ampul 8,360.00
Glukosa 2000 mg/ml (Alinamin F/Furamin)
Injeksi mengandung Lidokain 2% (HCl) dan Epinefrin
277 Ampul 1,152.00
1 : 80.000 - 2ml
278 Injeksi mengandung Mepivakain 2 % dan adrenalin Box 429,000.00
279 Injeksi mengandung Mepivakain 3 % dan adrenalin Box 429,000.00
Injeksi mengandung Sefoperazon 500 mg dan
280 Vial 143,000.00
Sulbaktam 500 mg
Injeksi mengandung Sulbaktam 250 mg dan Ampisilin
281 Vial 88,000.00
500 mg (Bactesyn)
Injeksi Vitamin B Komplek mengandung B1 100 B6
282 Ampul 5,500.00
100 B12 5000 ug B1 100 B6 100 B12 5000 ug
283 Instrument Spray (Pana spray) Botol 660,000.00
Ioheksol kontras media Injeksi 300 mgI/50 ml
284 Botol 215,050.00
(Omnipaque)
285 Iohexol kontras media injeksi 300mg/ml @20 ml Vial 77,000.00
286 Iohexol kontras media injeksi 350mg/ml @50 ml Vial 147,767.00
287 Iopamidol 300 mg/mL (Scanlux 50 ml) Vial 50 ml 187,000.00
Iopamidol kontras media injeksi 300/30 ml
288 Btl/30 ml 170,572.00
(Omnipaque)
289 Ipratropium Br Inhalation sol (Atrovent) Botol /20 ml 21,000.00
290 Irbesartan tablet 150 mg Tablet 483.00
292 Isofluran inhalasi (Terrell) Botol 100 ml 294,795.00
293 Isoksuprina HCl injeksi 5 mg/ml (Proterin) Ampul 12,191.67
294 Isoksuprina HCl tablet 20 mg (Proterine) Tablet 2,598.75
295 Isoniazid tablet 100 mg Tablet 72.00
296 Isoniazid tablet 300 mg Btl 1000 tablet Tablet 164.00
297 Isosorbid dinitrat tablet 10 mg Tablet 198.00
298 Isosorbid dinitrat tablet sublingual 5 mg Tablet 89.00
299 Itrakonazol kapsul 100 mg Kapsul 3,960.00
300 K L-Aspartate tablet 300 mg (Kalipar) Tablet 690.00
301 Kalium diklofenak tablet 25 mg Tablet 385.00
303 Kalium klorida (KCl) injeksi 7,46 % Ampul 3,223.00
304 Kalium klorida tablet lepas lambat 600 mg (KSR) Tablet 1,755.00
305 Kalsitriol kapsul lunak 0,25 mcg (Ostovel) Tablet 1,650.00
306 Kalsium asetat tablet 160 mg (Lenal ace) Tablet 855.80
307 Kalsium glukonat injeksi 10 % Ampul 10,351.00
308 Kalsium hidroksida pasta (Dorident) Buah 330,000.00
309 Kalsium karbonat serbuk Gram 65.00
310 Kalsium karbonat tablet 500 mg (Calporosis) Tablet 405.00
311 Kalsium laktat (Kalk) tablet 500 mg Tablet 59.00
312 Kalsium polistirena sulfonat serbuk 5 g (Kalitake) Sachet 4,999.00
313 Kandesartan sileksetil tablet 16 mg Tablet 898.00
314 Kandesartan tablet 8 mg Tablet 519.00
Kapsul lepas lambat mengandung Pseudoefedrin HCl
315 Tablet 4,441.25
dan Loratadin (Rhinos SR)
Kapsul lunak mengandung : Asam Folat 1 mg, Beta
Karoten 10.000 IU, Vit B1 3 mg, Vit B2 3,4 mg,
Nicotinamide 20 mg, Vit B6 2 mg, Kalsium Karbonat
100 mg, Vit B12 4 mcg, Vit D3 400 IU, Vit K1 50 mcg,
316 Tablet 3,234.00
Biotin 30 mcg, Copper Glukonat 0,1 mg, Iron
Polymaltosa (IPC) 30 mg, DHA (asam Dokaheksanoat
dari algae) 40 mg, ARA (Asam Arachidonat) 8 mg
(Folamil Genio)
Kapsul mengandung Besi 24 mg, Seng 12 mg,

317 Tembaga 2 mg, Asam Folat 500 mg, Vit B12 10 mcg Tablet 4,075.50
dan B6 5 mg (Feroglobin)
Kapsul mengandung
Echinaceae purpurea ekstrak 250 mg,
318 Kapsul 4,422.00
Black elderberry ekstrak 50 mg, Phyllanthus niruri
ekstrak 50 mg (Protemun)
Kapsul mengandung Sericocalyx Folium 21,4 %,

319 Orthosiphonis Herba 21,4 %, Sonchus Folium 17,85 Kapsul 6,006.00
%, Plantago Folium 7,15 % (Renax)
320 Kaptopril tablet 12,5 mg Tablet 62.00
321 Kaptopril tablet 25 mg Tablet 75.44
322 Karbakol (Miochol) Box 54,340.00
323 Karbamazepin tablet 200 mg Tablet 230.00
324 Karbazokrom injeksi 10 ml Ampul 9,178.40
325 Karbazokrom natrium tablet 10 mg (Adona AC-17) Tablet 2,217.60
326 Karbogliserin tetes telinga 10% Botol 2,590.00
327 Karvediol tablet 6,25 mg (V-bloc / Dibloc) Tablet 1,560.00
Kasa steril yang diresapi framicetin sulfat 1% berbasis
328 Lembar 10,175.00
lanolin parafin (Daryantulle)
Kasa steril yang diresapi Kalsium alginat 2%
329 Lembar 14,033.00
(Bioplacenton tulle)
330 Ketamin injeksi 50 mg/ml Vial 59,950.00
331 Ketokonazol krim 2% Tube 2,518.00
332 Ketokonazol scalp sol 2% (Zoloral SS/Interzol SS) Botol 80 ml 24,200.00
333 Ketokonazol tablet 200 mg Tablet 270.00
334 Ketoprofen suppositoria 100 mg Supp 2,380.00
335 Ketoprofen tablet 100 mg Tablet 1,333.20
336 Ketorolak injeksi 30 mg/ml Ampul 1,045.00
337 Klaritromisin tablet 500 mg (Orixal) Tablet 3,900.60
338 Klindamisin kapsul 150 mg Kapsul 715.00
340 Klobazam tablet 10 mg Tablet 739.00
341 Klonazepam tablet 2 mg (Riklona) Tablet 4,940.00
342 Klonidin injeksi 0,15 mg/ml (Catapres) Ampul 33,900.00
343 Klonidin tablet 0,15 mg Tablet 175.00
344 Klopidogrel tablet 75 mg Tablet 1,318.00
345 Kloramfenikol injeksi 1 gram (Colsancetine) Vial 10,428.00
346 Kloramfenikol kapsul 250 mg Kapsul 209.00
347 Kloramfenikol salep kulit 2 % Tube 3,091.00
348 Kloramfenikol salep mata 1 % Tube 1,881.00
349 Kloramfenikol suspensi 125 mg/5 ml Botol 3,955.00
350 Kloramfenikol tetes mata 0,5% (C. Fenicol) Botol 30,992.96
351 Kloramfenikol tetes telinga 3% Botol 1,599.40
352 Klorfeniramin maleat (CTM) tablet 4 mg Tablet 22.00
353 Klorfenol Kamfer Mentol (CHKM) Botol 77,000.00
354 Klorheksidin 0,2% (Perio Kin Spray) 40 ml Botol 124,355.00
355 Klorin 5,25 % ml 11.00
356 Kloroquin tablet 250 mg Tablet 107.00
357 Klorpromazin injeksi i.m 25 mg/ml Ampul 1,240.00
358 Klorpromazin tablet salut 100 mg Tablet 147.00
359 Klozapin tablet 100 mg Tablet 3,288.00
361 Kodein tablet 10 mg Tablet 571.00
362 Kodein tablet 20 mg Tablet 1,299.00
363 Koenzim Q 10 60 mg (Q ten) Kapsul 7,607.60
364 Kolkisin Tablet 0,5 mg Tablet 2,299.00
Kotrimoksazol DOEN I (dewasa) kombinasi
365 Tablet 125.00
sulfametoksazol 400 mg dan trimetoprim 80 mg
Kotrimoksazol suspensi kombinasi sulfametoksazol
366 botol 60 ml 2,052.00
200 mg dan trimetoprim 40 mg/ 5 ml
367 Kresol tersaponifikasi 50 % Liter 9,598.00
Krim mengandung Asam Hialuronat 2%, Perak
368 Tube/100 gram 122,760.00
sulvadiazin 1% (Ialuset)
Krim mengandung Betametason valerat 0,1 % dan
369 Tube 5 gr 11,330.00
Neomisin sulfat 0,5 %
370 Kuinin (Kina) tablet 200 mg Tablet 670.00
371 Kurkuma tablet Salut Gula Tablet 404.64
372 L- Ornithine L-Aspartate injeksi 500 mg Ampul 59,400.00
373 Laktosa Gram 210.00
374 Laktulosa 3,335 gram sirup (Opilax) 120 ml Botol 120 ml 39,600.00
375 Laktulosa 3,335 gram sirup 60 ml Botol 60 ml 15,060.00
376 Lamivudin Tablet 150 mg Tablet 1,560.00
377 Lansoprazol injeksi 30 mg/ml Vial 92,040.00
378 Lansoprazol kapsul 30 mg Tablet 303.00
379 Larutan dialisis peritonel 2.5 % dan minicap (Dianeal) Softbag/2 Liter 41,929.00
380 Larutan hipertonic nasal spray (Sterimar hypertonic) Botol 123,117.50

381 Larutan hipertonic nasal spray bayi (Sterimar Baby) Botol 120,065.00
Larutan infus 500 ml mengandung Na 50 mEq/L, K 20
382 mEq/L cl 50 mEq/L Lactate 20 mEq/L Glukose 27 g/L Plastic Bottle 500 ml 10,696.00
(KA EN 3 B)
383 Larutan isotonik nasal spray 100 ml (Nasalin) Botol 100 ml 86,625.00
384 Larutan isotonis NaCl 0,9 % Nasal Spray (BNS) Botol 58,960.00
Larutan mengandung Asam Amino (Asam Amino
385 Botol 500 ml 56,300.00
10%) (Kalbamin)
Larutan mengandung Asam Amino (Asam Amino 6%,

386 Botol 100 ml 44,990.00
mengandung Taurine 0,24 gr/l) (Aminosteril Infant 6%)
Larutan mengandung Asam Amino (Asam Amino

387 72.05 g, Total N 11.53 g, AAE/AANE ratio 2.6, Nadan Softbag 200 ml 50,697.00
2 mEq, Asetat 46 mEq)(Kidmin)
Larutan mengandung Asam Amino (Asam Amino 79.9

388 g, Total N 12.2 g, Nadan 14 mEq, Cl 94 mEq) Softbag 500 ml 67,590.00
(Aminoleban)
Larutan mengandung Asam Amino (Asam amino 8%)

389 Botol 500 ml 78,720.00
(Aminosteril N-Hepa)
Larutan mengandung Asam Amino (Kombinasi Asam
aminno 50 g/L, Sorbitol 50 g/L, Xylitol 50 g/L, Asam
Askorbat (Vit C) 0.4 g/L, Inositol 0.5 g/L, Nikotinamida
390 Botol 500 ml 42,000.00
(Niasinamida) 0.06 g/L, Piridoksin HCl (Vit B6) 0.04
g/L, Riboflavin Natrium Fosfat 2.5 mg/L, elektrolit)
(Aminofusin L600)

391 amino 50 g/L, vitamin dan elektrolit) (Aminofusin Botol 250 mL 54,080.00
Paed)

392 Amino: 34gr, Glukosa: 97gr, Lipid: 51gr dan Elektrolit Soft Bag 319,990.00
(Kalori = 1000 kkal, Akses peripheral)) Kabiven
Larutan mengandung Asam Amino 500 ml

393 Bag 67,590.00
(Aminofluid)
Larutan mengandung Elektrolit (Na 130 mEq, Cl 109
394 Plastic Bottle 500 ml 9,275.00
mEq, Ca 3 mEq, Asetat 28 mEq) (Asering)
Larutan mengandung Elektrolit (NaCl 1.125 gr,
Dekstrosa 18.75 gr) (KA EN 1B)
Larutan mengandung Karbohidrat (Fructose 120 g,

396 glucose 66 g, Xylitol 60 g/ L dan elektrolit) (Triofusin Botol 500 mL 50,500.00
1000)
Larutan mengandung Karbohidrat (Fructose 60 g,

397 Botol 500 mL 42,350.00
glucose 33 g, Xylitol 30 g/ L) (Triofusin 500)
Larutan mengandung Karbohidrat dan Elektrolit (D5-
1/4NS)
Larutan mengandung Karbohidrat dan Elektrolit
(Glukosa: 25,0 g; NaCl: 4,5 g) (WIDA 2A)
Larutan mengandung Klorheksidin glukonat 1,5 % dan
400 ml 182.00
cetrimid 15 % (First aid)
Larutan nutrisi parenteral mengandung: High content

of branched-chain amino acids 42% & low content of
401 Botol 500 ml 152,176.00
methionine, phenylalanine & tryptophan Aminofusin
Hepar)
Larutan mengandung NaCL 0,45 % dan glukosa

402 2,5 % dengan KCl 0,15 % atau setara dengan Kalium Botol 11,435.00
20 mEq/L (KDN-1)
Larutan mengandung NaCl 0,9 %

403 dengan KCl 0,3 % atau setara dengan kalium 40 mEq Botol 11,011.00
/L (KN-2)
404 Latanoprost tetes mata 0,005 % (Xalatan) MD 0.6 ml 120,650.00
405 Ledermix Pasta 5 gram Tube 762,300.00
406 Levofloksasin infus 5 mg/ml Botol 17,999.00
407 Levofloksasin tablet 500 mg Tablet 424.00
408 Levofloksasin tetes mata 5 mg (Optiflox) Botol 15,499.00
409 Levotiroksin tablet 100 mcg (Euthyrox) Tablet 1,021.00
410 Lidokain injeksi 2% (HCL) Ampul 1,144.00
411 Lidokain Jel 2% (Xylocain) Buah 41,600.00
412 Lidokain semprot 10 % Botol 177,216.00
413 Linkomisin kapsul 500 mg Kapsul 1,250.10
414 Lisinopril tablet 10 mg Tablet 259.00
415 Litium karbonat tablet 200 mg (Frimania) Tablet 949.00
416 Litium karbonat tablet 400 mg (Frimania) Tablet 1,739.00
417 Loperamid tablet 2 mg Tablet 85.00
418 Loratadin tablet 10 mg Tablet 123.00
419 Lorazepam tablet 1 mg (Ativan) Tablet 850.00
421 Losartan tablet 50 mg Tablet 4,378.00
422 Lovinapir 200 mg / Ritonavir 50 mg Tablet (Aluvia) Tablet 7,414.00
Low molecule feri sucrose injeksi 100 mg/5 mL
423 Ampul 28,500.00
(Dialifer)
424 Lumbrokinas tablet 490 mg (Disolf) Tablet 7,150.00
425 Magnesium sulfat (MgSO4) injeksi (IV) 40 %-25 ml Botol 3,796.00
426 Manitol larutan infus 20% 250ml Botol 28,275.00
428 Maprotiline HCl tablet 50 mg (Sandepril) Tablet 2,428.00
429 Mebendazol tablet 500 mg (Vermox) Tablet 8,800.00
430 Mekobalamin injeksi 500 mcg Ampul 6,160.00
431 Mekobalamin tablet 500 mcg Kapsul 539.00
432 Meloksikam tablet 15 mg Tablet 419.00
433 Meropenem injeksi 1000 mg Vial 32,345.00
435 Mesalazin tablet 250 mg (Salofalk) Tablet 3,575.00
436 Metamizol natrium 500 mg/ml injeksi (Novalgin) Ampul 3,500.00
437 Metampiron tablet 500 mg Tablet 394.90
438 Metformin HCl Kapsul 500 mg Tablet 96.00
439 Metformin HCl Kapsul 850 mg Kapsul 150.00
440 Metil penidat tablet 10 mg (Prohiper) Tablet 1,162.00
441 Metildopa tablet 250 mg (Dopamet) Tablet 946.00
442 Metilergometrin maleat injeksi 0,200 mg/ ml Ampul 2,959.00
443 Metilergometrin tablet 0,125 mg Tablet 210.00
444 Metilprednisolon injeksi 125 mg/2 mL Vial 10,800.00
445 Metilprednisolon injeksi 500 mg Ampul 67,560.00
446 Metilprednisolon tablet 16 mg Tablet 637.00
449 Metisoprinol tablet 500 mg Tablet 3,135.00
450 Metoklopramid injeksi 5 mg/ ml Ampul 3,960.00
451 Metoklopramid tablet 10 mg Tablet 80.00
453 Metronidazol larutan infus 500 mg Vial 8,110.00
454 Metronidazol sirup 125mg/5 ml Botol 3,950.00
455 Metronidazol supositoria 500 mg (Flagyl) dus, 2 blister@5 suppositoria 3,220.00
456 Metronidazol tablet 500 mg Tablet 124.00
457 Midazolam injeksi i.v. 1 mg/ml (Fortanest) Ampul 4,125.00
458 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gr 3,414.00
459 Misoprostol tablet 200 mg (Cytostol) Tablet 4,125.00
Modified fluid gelatine BM 30000 larutan infus 4 %
460 Botol 45,980.00
(Gelofusin / Gelafusal)
Moksifloksasin larutan infus 400 mg/250ml (Mocin /
461 Botol 187,000.00
Avelox)
462 Moksifloksasin tetes mata 0,5 % (Vigamox) Botol 81,000.00
463 Mometason furoat krim 0,1% Tube 10 gr 11,000.00
Mometasone furoate monohydrate semprot hidung 50
464 Botol -
mcg/dosis (Nasonex)
465 Montelukast tablet 10 mg (Rymont) Tablet 4,790.50
466 Morfin injeksi 10mg/ml Ampul 34,049.95
467 MST Continus tablet 10 mg Tablet 15,620.00
468 Mummifying pasta, iodoform pasta 10 gr Botol 182,325.00
469 Nafazolin HCl tetes mata 1 mg (C. Vasacon) Botol 15 ml 15,262.50
470 Nalokson injeksi 0,4 mg/ ml (Nokoba) Ampul 72,600.00
471 Natamisin tetes mata 50 mg (C. Natacen) MD 0,6 ml 45,782.00
472 Natamisin tetes mata 50 mg/ml (Fukricin) Botol 42,306.00
473 Natrium bikarbonat injeksi i.v 8,4 % (Meylon) Ampul 25 ml 6,448.00
474 Natrium bikarbonat tablet 500 mg Tablet 99.00
475 Natrium diklofenak tablet 25 mg Kapsul 145.00
476 Natrium diklofenak tablet 50 mg Tablet 115.00
477 Natrium Diklofenak tetes mata 1 mg (C. Non cort) MD 0,6 ml 45,917.30
478 Natrium Diklofenak tetes mata 1 mg (Flamar ED) Botol 5 ml 25,597.00
479 Natrium fusidat salep 20 mg/g (Fucilex/Fuladic) Tube 5 gr 35,035.00
480 Natrium klorida larutan infus 0,9 % Botol 500 ml 6,410.00
481 Natrium klorida larutan infus 0,9 % 100 ml Botol/100 ml 11,896.50
482 Natrium klorida larutan infus 3 % Botol 500 ml 25,047.00
483 Natrium Kromoglikat tetes mata 20 mg (C. Conver) Botol 15 ml 15,540.80
484 Natrium pikosulfat larutan 7,5 mg/ml (Laxoberon) Botol 10 ml 79,398.00
485 Nebivolol tablet 5 mg (Nebilet) Tablet 4,620.00
Nebulizer Per 2,5 ml mengandung Ipratropium Br 0,5
486 Respul 4,550.00
mg, Salbutamol sulfat 2,5 mg (Combivent UDV)
487 Neostigmin metilsulfat injeksi 0,5mg/ml Ampul 7,271.00
488 Nevirapin Tablet 200 mg Tablet 2,940.00
489 Nifedipin tablet 10 mg Tablet 116.10
490 Nifedipin tablet 30 mg (Adalat oros) Tablet 3,700.00
491 Nikardipin injeksi 10 mg Ampul 23,649.00
492 Nistatin drop 100.000 IU (Nimyco) Botol 12 ml 13,500.00
493 Nistatin tablet salut 500.000 IU/ g Tablet 640.00
494 Nistatin vaginal tablet salut 100.000 IU/ g Tablet Vagina 407.00
495 Nitrogliserin injeksi 1 mg/ml (NTG) Ampul 10 ml 50,050.00
496 Nomegestrol Asetat tablet 5 mg (Lutenyl) Tablet 7,450.00
497 Norepinephrine bitartate inj 1 mg/ml Ampul 25,839.00
498 Noretisteron tablet 5 mg (Nosthyra) Tablet 1,820.00
499 Obat Anti Tuberkolosis Anak Paket 214,985.00
500 Obat Anti Tuberkulosis I Dewasa Paket 389,344.00
501 Obat Anti Tuberkulosis II Dewasa Paket 1,199,985.00
502 Obat Batuk Hitam (OBH) cairan 100 ml Botol/100 ml 2,970.00
503 Ofloksasin Tablet 200 mg Tablet 440.00
504 Ofloksasin tablet 400 mg Tablet 616.00
505 Ofloksasin tetes mata 3 mg (C. floxa) MD 0,6 ml 5,414.20
506 Ofloksasin tetes telinga 3 % (Tarivid otic/Akilen) Botol 35,000.00
507 Oksimetazolin HCl larutan 0,025 % (Iliadin) Botol 32,549.00
509 Oksitetrasiklin salep mata 1% Tube 3,5 gr 2,500.00
510 Oksitosin injeksi 10 IU/ ml Ampul 1,199.00
511 Olanzapin injeksi 10 mg/vial (Zyprexa) Vial 130,000.00
512 Olanzapin kaplet salut 10 mg (Onzapin) Tablet 6,996.00
513 Olanzapin tablet 5 mg (Olandoz) Tablet 6,450.00
514 Olopatadin tetes mata 0,1 % (Patanol) Botol 72,500.00
515 Omeprazol injeksi 40 mg Vial 9,898.00
516 Omeprazol kapsul 20 mg Kapsul 130.00
517 Ondansetron injeksi HCl 4mg/2ml Ampul 1,070.00
518 Ondansetron tablet 4 mg Tablet 716.00
Ovula mengandung Metronidazol 500 mg dan Nistatin
520 Ovula 12,496.00
100.00 Unit (vagistin ovula)
521 P.P.D. Test 1.5 ml Vial 772,475.00
522 Pantoprazol injeksi 40 mg Vial -
523 Paper point No. 15-40 set 59,840.00
525 Parasetamol drop 60 mg/0,6 ml Botol 6,649.00
526 Parasetamol larutan infus 100 ml Botol 11,610.00
527 Parasetamol sirup 120 mg/ 5ml Botol 1,107.00
528 Parasetamol suppositoria 160 mg (Propyretic) Supp 6,086.67
529 Parasetamol tablet 500 mg Tablet 53.00
530 Pasta non Arsen /Depulpin (pulp-X Denpro) Pot 220,000.00
531 Perak sulfadiazin krim 1% (Burnazin) Tube 20,700.00
532 Perindopril arginin tablet 5 mg (Bioprexum) Tablet 2,640.00
533 Permetrin krim 5% 10 g (Scabimite) Tube 11,825.00
534 Petidin injeksi 50 mg / ml Ampul 14,500.00
535 Pilocarpin (HCL/Nitrat) tetes mata 2 % (C. carpin) Botol 5 ml 20,649.20
536 Pioglitazon tablet 15 mg (Deculin) Tablet 3,260.40
537 Pioglitazon tablet 30 mg Tablet 3,575.00
538 Pirantel pamoat suspensi 125 mg 10 ml (Convermex) Botol 10 ml 9,700.00
539 Pirantel Pamoat tablet score (base) 125 mg Tablet 289.00

540 Pirasetam injeksi 3 gr/ 15 ml Ampul 3,800.00
541 Pirasetam tablet 1200 mg Tablet 776.00
544 Pirazinamid tablet 500 mg Tablet 222.00
545 Piridoksin (vitamin B6) tablet 10 mg Tablet 123.00
546 Piridostigmin tablet 60 mg (Mestinon) Tablet 7,513.00
547 Pirimetamin tablet 25 mg Tablet 1,315.00
548 Polikresulen cairan (Albothyl) Botol 10 ml 27,500.00
549 Povidon iodida larutan 10 % 1000 ml Botol 1000 ml 37,109.00
550 Povidon iodida larutan 10 % 30 ml Botol 2,163.00
553 Povidon iodida obat kumur Botol 175 ml 10,395.00
554 Povidon iodida tetes mata 2% (Solujod) MD 0,6 ml 24,200.00
881 Povidon iodida larutan 10 % 60 ml (Betadine Sol) Botol 60 ml 23,890.00
882 Power 0 Buah 5,073.75
883 Power Chain Closed Short Roll 792,000.00
884 Proximal Femoral Locking Plate 06 Holes Titanium Buah 6,600,000.00
885 Pumice (Ultrapro FX Prophy Paste) Buah 68,063.00
886 Rapid Test HBsAg Buah 9,878.00
887 Rapid Test HIV 1 Check Device Kit 14,877.00
888 Rapid Test HIV 1/2 (ONCOPROBE) Kit 22,386.00
889 Rapid Test HIV 1/2 (SD) Kit 14,344.00
890 Rapid Test HIV 1/2 Intec Sachet 14,300.00
891 Reservoir bag no 0,5 Buah 179,273.00
892 Reservoir bag no 1 Buah 179,273.00
894 Respiratory Gas Humidifier 350 ml (E Care Steriflo) Botol 36,000.00
895 Roll Tampon 7 m x 1.25 cm x 4 ply 1'S Plain Buah 8,185.00
897 Round Bur 1 mm (HighSpeed) Buah 27,500.00
898 Safety box 12,5 Liter Buah 35,490.00
899 Safety Box 2 liter (Oborsave) Buah 13,800.00
900 Safety Box 5 liter Buah 25,947.21
901 Safil Violet 0 (3.5) 90 CM HR40S (M) Sachet 94,765.00
902 Safil Violet 0 (3.5) 90 CM HS40S (M) Sachet 93,975.00
903 Safil Violet 1 (4) 90 CM HR48 (M) Sachet 99,550.00
904 Safil Violet 4/0 (1.5) 45CM DS19 (M) Sachet 75,920.00
905 Safil Violet 4/0 (1.5) 70 CM HR22 (M) Sachet 91,050.00
906 Saniswiss Biosanitizer S 750 ml Botol 350,000.00
907 Saniswiss Biosanitizer S Stetch Wipes Buah 363,000.00
908 Sarung tangan 6.5 steril Pasang 7,872.00
909 Sarung tangan 7 Steril Pasang 9,680.00
910 Sarung tangan 7.5 Steril Pasang 9,680.00
911 Sarung tangan L Ktk/100 46,200.00
912 Sarung tangan M Ktk/100 46,200.00
913 Sarung tangan Nitrile -M Box/100 62,700.00
914 Sarung tangan Nitrile -S Box/100 62,700.00
915 Sarung tangan Nitrile -XS Buah 47,600.00
916 Sarung tangan S Ktk/100 46,200.00
917 Sarung tangan steril panjang/ginekolog Pasang 17,400.00
918 Schanz Screw 3.0 mm x 100 mm Buah 197,231.00
924 Semen Band Ortho (Protech Gold Cement Kit) kit 2,172,555.00
925 Sendok plastik obat Buah 220.00
926 Sikat Gigi Ortho pcs 25,850.00
927 Sistenol Buah 1,650.00
928 Skin Marker (Fine tip) Buah 54,450.00
929 Skin Marker (Regular tip) Buah 54,450.00
930 Skintraksi Adhesive Child Tensoplast STK Buah 145,878.00
931 Slit Knive Buah 232,750.00
932 Small DCP Plate 10 Holes Buah 289,273.00
938 Small T-Plate 3 Holes Shaft Buah 257,716.00
943 SNMC Buah 101,495.63
944 Soda Lime Galon 860,000.00
945 Solution Administration Set For Pump Buah 21,780.00
946 Spalk Infus uk. 5x10 Pcs 9,801.00
948 Spalk Patah Tulang 1 cm x 6 cm Set/2 Buah 13,200.00
965 Spalk patah tulang ukuran 45 x 7 cm Set/3 Buah 99,000.00
966 Specialist Stockinet 4" (10 cm x 22,8 m) Buah 498,532.00
968 Spinal Needle 25 G x 3 1/2" Buah 32,000.00
969 Spinal Needle 26 G x 3 1/2" ktk/25 32,000.00
971 Spons Gelatin Cubicle steril 10 x 10 x 10 mm Buah 12,540.00
Spons Gelatin Cubicle steril 5 x 8 cm BBRAUN
972 Pcs 82,800.00
Lyostypt
973 Spons Gelatin Cubicle steril 80 x 50 x 10 mm Buah 55,000.00
974 Spray handpiece ujung lurus Buah 531,700.00
975 SS Open Coil Spring Buah 611,600.00
976 Steam Integrator Class 4 Pcs 658,000.00
977 Steam Integrator Class 5 Box 402,226.00
978 Sterilization Agen (Renosem) Box/15 cassette 376,750.00
979 Sterilization Gusseted Reels 10cmx5cmx100m Roll 313,500.00
980 Sterilization Gusseted Reels 15cmx5cmx100m Roll 454,575.00
981 Sterilization Gusseted Reels 40cmx7,5cmx100m Roll 1,140,700.00
982 Sterilization test pack for steam (Sterintech) Pack 67,100.00
983 Stomach tube CH.12 Buah 12,430.00
985 Stomach tube CH. 3.5 Buah 8,841.00
986 Stomach tube CH.05 100 cm Buah 14,080.00
987 Stomach Tube CH.10, 100 cm Pcs 7,700.00
991 Stool Container (Pot Faces) 60 ml Buah 1,497.30
992 Suction cath no 06 Buah 9,525.00
998 Suction connecting tube Buah 29,011.00
999 Suction Tip Saliva/Saliva Ejector Buah 677.00
Sungkup Anestesi (face mask) Anak/ pediatric/toddle
1000 Buah 73,356.00
silikon w/ valve
Sungkup Anestesi (face mask) Bayi/infant silikon w/
1001 Buah 31,900.00
valve
Sungkup Anestesi (face mask) Dewasa sedang
1002 Buah 31,900.00
(Medium Adult ) silikon w/ valve
Sungkup Anestesi (face mask) Dewasa Kecil (Small
1003 Buah 31,900.00
Adult) silikon w/ valve
Sungkup Anestesi (face mask) neonatus silikon w/
1004 Buah 76,732.00
valve
Surface Disinfectant tiap 100 g mengandung: 25 g,

1005 etanol 94%, 35 g 1-propanolol, weeting agent, Gallon 1,130,283.00
fragrances (Mikrozid)
Surface Disinfectant mengandung

1006 benzethonium chloride 0.30% dan isopropanol 21% Galon 752,400.00
(Stericide)
1007 Surgical Gown Standard Type (Surrem) L Buah 53,856.00
1008 Surgical Gown Standard Type (Surrem) LL Buah 54,912.00
1009 Surgical mask 3 ply plus earloop (Face Masker) Box/50 20,570.00
1010 Surgical Mesh 6 cm X 11 cm Buah 158,842.00
1011 Surgical Mesh 7,5 cm X 15 cm Buah 317,685.00
1012 Surgical suction tip Buah 605,838.00
1013 Suture Wire 0,8 Roll 402,325.00
1014 Suture Wire 1,0 Roll 402,325.00
1015 Suture Wire 1,2 Roll 402,325.00
Synthetic Casting ukuran 3 inch (warna biru) Delta
1016 Buah 100,401.00
Lite
1017 T piece Buah 88,000.00
1018 Tabung EDTA 3 cc Buah 1,690.92
1019 Tabung Kimia 4 cc Buah 1,593.90
1020 Tabung Kimia Minicolect 0,5 ml Buah 3,423.42
1021 Tampon Vagina Buah 5,500.00
1022 Tensoplast STK Non Adhesive Adult Buah 228,932.00
1023 Terralin Botol 1,057,329.13
1024 The Delivery Sistem Buble CPAP set 1,296,936.00
1025 Thermal paper 57 x 30 Buah 41,250.00
1026 Thermovent HEPA Buah 103,150.80
1027 Three way stopcock Buah 1,950.00
1028 Three way stopcock w / tube 10 cm Buah 10,450.00
1029 Throhanter Buttres Plate ( TBP ) 11 Holes Buah 986,156.00
1034 Tibial Lateral Condilar Plate ( TLC ) 11 Holes Left Buah 815,223.00
1035 Tibial Lateral Condilar Plate ( TLC ) 11 Holes Right Buah 815,223.00
1044 Tip Cleaner 4,8x4,8 cm Buah 22,106.70
1045 Titanium plate dan screw set 5,168,730.00
1046 Torniquet Buah 9,900.00
1047 Torniquet Bayi Buah 23,000.00
1048 Total Hip Replacement (THR) Set Cemented Muller Paket 16,335,000.00
Total Hip Replacement (THR) Set Cemented
1049 Paket 14,300,000.00
Prosthesis
1050 Tounge Spatel Disposible pak/50 buah 13,125.00
1051 T-Plate 4.5 mm 10 Holes Buah 867,818.00
1059 Transofix Buah 3,400.00
1060 Transparan Dressing Infus 6 cm x 7 cm (Common) Buah 2,118.00
1061 Transparan Dressing Infus 6 cm x 7 cm (Notch) Buah 5,294.47
1062 Transparan Dressing Infus 6 cm x 8 cm (Leukomed) Buah 2,461.12
Transparan Dressing infus bayi/neonatus 4,4 cm x
1063 Buah 1,925.00
4,4 cm
Transparan Dressing Non Woven Medical Tape (15 x
1064 Box 99,744.00
500cm)
1065 Transparan Dressing penutup luka lebar 15cmx5m Buah 144,474.00
1066 Transparan Dressing Post APP 10 cm x 9 cm Buah 11,731.84
1067 Transparan Dressing Post SC/Hernia 25 cm x 9 cm Buah 22,302.08
1068 Transparan Dressing Tape 5 X 500 Buah 84,700.00

1069 Umbilical Cord Clamp Buah 1,300.00
1070 Underpad Buah 4,620.00
1071 Universal Set Set 698,544.00
1072 Universal set drape disposible Set 593,300.00
1073 Ureter Catheter Straight FR 4 Open Tip Buah 397,375.00
1075 Urine Bag Buah 5,785.00
1076 Urine collector pediatric Buah 2,310.00
1077 USG Gel 250 ml Botol 12,584.00
1078 Vaginal Speculum M Buah 6,545.00
1079 Vaginal Speculum S Buah 6,545.00
1080 Ventilator Breathing Circuit Adult Buah 110,300.00
1081 Visiomulti Cobra Titanium Guidwire 0.028" Buah 1,168,750.00
1082 White Cup Sample Buah 169.13
1083 White Tip Buah 440.00
1084 Wing Needle 23GX 3/6 Buah 1,400.00
1085 Wing Needle 25 GX3/6 Buah 1,400.00
1086 Wing Needle 27G X 1/2 Buah 1,400.00
1087 Winged Infusion Set no.21 Buah 5,643.00
1088 Wire gigi 0,4 Roll 248,724.00
1089 Wound Drain, 200ml, no.14 Buah 64,140.00
1091 Wound Irrigation Solution 350 ml (Bbraun Prontosan) Botol 164,000.00
1092 Y Connector 15 mm Buah 493,020.00
1093 Yellow Tip Buah 175.70
1-Jan 2-Jan 3-Jan 4-Jan 5-Jan 6-Jan 7-Jan 8-Jan
300
50
100
15
1300
20
0
24
300
600
500
400
50
500
800
1800
200
500
60
0
150
900
100
0
600
200
100
700
100
2100
60
200
100
0
100
10 30
60
200
60
0
400
300
100
90
100
200
60
1200
400
0
30
50
100
0
0
1300
120
0
500
800
600
0
0
0
500
1500
300
120
100
0
128
660
50
70
0
900
900
130
50
500 2400
5
0
20
80
200
9-Jan 10-Jan 11-Jan 12-Jan 13-Jan 14-Jan 15-Jan 16-Jan 17-Jan 18-Jan 19-Jan 20-Jan 21-Jan
300
60
30
1500
0 0
10
0 0
0
30 12
20 20
0
1000
50 100
960 960
500
1500 3000
10
0
0 0
10
108 42
100 100
10
100 100
40
0 0
20
20
200 200
20
100 500
10
100
10 0
0
50
0 0
100
100
5 0
90
50 50
500
120
90
400
50
0 0
200 300
100
100
50
48
180
0
0
0
40
50 50
60 100
0 0
20
50 110
0 0
0 0
0 0
0 0
5 4
50
0
50 15
30
500
0 0
0 0
24
0 0
1000 3000
0 0
50
50 100
0 0
0
1600
90 600
2
100 100
120
100
500 0
10 20
50 25 0
100 600
200
5
10
30
0
300
0
100
100
50
20
60
500
0 0
400
100
500 1000
200
0 0
200
300
30
0 0
500 1000
50
0 0
30
10
250
10
1000 1280
0
50
0 0 80
50
50 100
100 300
0 0 300
990 1500
1000 2000
300
0 0
100 100
100 50
60
2500 1000 6000
60
100 100
100 300
200 300
0
20 20
0 0
120
10
50 49
10
10
10
0
50 50
0
50 50
10
5
60
50 50
35
300 500
50
50
200
300
200
200
Stock
JUMLAH
PENERIMAAN
22-Jan 23-Jan 24-Jan 25-Jan 26-Jan 27-Jan ### 29-Jan 30-Jan 31-Jan GUDANG Awal Jan
600 25
0 100
110 189
100 200 86
0 0
0 0
0 0
0 193
0 215
0 188
0 3
75 120 49
3000 5800 723
30 50 35
30 30 21
0 0
0 0 0 0
24 33
0 25
300 319
600 407
0 10 14
0 0
0 0 0 0
0 0 0 0
0 0 42 1
500 1947
0 0
0 38
0 0
0 0
0 14
20
60 18
0 0
0 0 0 5
0 0
600
2000 360
0
200 57
0 24
3 3
0 15
50 50 62
0 0
0 70
0 239
1920 921
0 13
0 0
0 0
0 0 500 220
0 0
0 0
0 0 241
0 525
1300 370
10 10 6
0 0
0 0
3000 9300 635
0 0
0 0
0 0
250 450 582
300 500 1300 284
90 150 261
5 5 4
0 54
0 25
0 0
0 0 111
0 150 183
600 1500 698
0 0
0 122
10 25
0 0
0 0
0 120
0 0
10 10 7
100 351
0 0
0 0
0 0
0 0
0 0 11
500 1100 310
0 0
10 1
0 70
0 150 194
0 82
0 106
200 400 180
100 106
0 7
0 0
1 1
0 111
0 0
200 298
0 5
0 0
10 9
0 0
0 0
0 0
300 500 207
500 1500 2700 227
0 0
40 48
0 0
0 0
10 10 6
10 10 4
0 0
0 50 100 150 3
10 30 10
20 45 0
0 0
400 49
0 61
20 28
700 125
0 200
10 17
0 166
0 146
0 0
0 24
100 100 28
0 114
50 150 35
0 0
0 50
0 10 16
0 2100 70
0 0
0 0
110 50
0 0
10
10 6
0 92
0 0
0 0
0 45
0 0
0 0
0 0 0 27
100 137
0 200 0
0 7
0 0
0 0
200 73
0 0
0 10
0 0
0 0
0 28
100 121
18 18 21
0 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 45 7
100 100 126
0 49
0 100
60 42
90 116
100 100 162
0 0
0 2
100 85
0 0
700 291
210 390 235
90 180 69
0 15
0 10
0 21
800 182
0 0
0 0
0 0
0 0
0 0
0 2
50 72
0 0 0 16
0 0
0 0
0 0
0 0
0 0 500 358
300 600 179
0 232
0 280
200 68
0 0
0 0
100 183
50 62
0 98
48 47
0 4
0 0
0 0
0 0
0 137
0 0
270 159
100 200 133
0 0 0
0 0 0
0 0
0 0 98
200 387
0 0 0 0
0 0 0 240
0 278
0 0
0 0
0 0
40 151
100 49
200 360 90
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2
0 16
0 0
0 0
0 0
0 127
5 5 10 15
0 0 0 0
0 0 8
0 0
0 73
0 0
114 114 30
50 30
160 11
10 170 9
500 600 2300 257
0 3
0 0 0 0
0 0 0 13
0 0 0 0
0 0 0 15
0 0
9 5
50 26
0 40
55 55 7
400 762
0 0
0 300
0 0
0
0 6
0 0
0
65 68
30 35
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 69
0 0
0 0
30 116
50 76
0 122
600 111
0 0 0 0
0 0 0 231
0 60
0 0
0 0
100 100 0
120 120 31
500 1800 126
0 50
0 0
24 48 34
0 0
0 0
0 76
0 375
0 176
120 289
0 0 0 105
0 98
0 16
0 0
0 6
0 143
0 0 0 0
4500 1543
0 0
0 95
20 10 30 15
0 0
0 4
0 0 0 100
50
100 141
0 0
0 2
60 60 8
0 3
0 0
100 250 175
500 500 290
0 0 0 694
0 63
0 879
1500 3900 956
0 142
0 0
100 100 13
0 134
1290 94
0 48
0 4
0 0
0 22
0 5
0 3
0 0
0 0 194
0 0
5 7 2
0 0
0 0
0 0
0 80
0 41
0 103
0 0
100 300 147
0 0
120 0
500
1100 108
0 0
0 0
0 0
6
6 3
9 4
0 60
0 0 2000 53
30 0
0 0
0 0
5 7
0 0
0 0 75 69
1000 607
0 0
0 0
0 0
100
420 335
0 3
0 2
0 0
0
5 10
10
10 10
0
0 54
0 0
0 0
30
40 13
8 8
30
60 59
0 3
0 0
0 8
0 0
0 50
0 0
0 0
0 0
0 20
0 20
0 5
0 0
0 0 47
300 600 206
0 0
0 0 0 90
100 403
0 101
0 0
0 0 95
0 0 0 158
0 0
0 0
100 200 103
0 0 59
0 0
0 98
0 0
0
0 11
0 0
50 50
0
20 46
0 0
0 0
60 24
500 386
0 0 0 404
400 71
0 86
0 0
100 200 84
0 86
1500 420
200 162
0 0
0 0 0 155
200 160
300 584
30 91
0 0
0 0
0 0 100 107
0 0
0 133
0 66
0 170
0 0
150 100 378 138
0 0
0 0
1500 319
50 56
10 10 7
0 0 0 299
0 0
0 0
0 0
0 0
0 22
0 0
0 84
30 30
0 0
0 0
0 0
10 1
0 0
0 0
0 38
0 427
0 0
250 609
0 4
0 0
10 4
0 2940 1920
0 50 0
0 66
0 0
0 0
0 31
100
100 132
0 18
0 0
0 1427
0 467
50 174
19 19 12
0 0
0 0
100 180 2
0 30
100 100 117
300 300 91
0 0
0 0
0 0
0 50 18
0 0
0 105
0 220 39
10 10 3
0 1
0 3
0 3
400 470
0 0
0 30
0 0
0 0
300 600 408
1200 1500 6090 293
3900 729
0 0
300 482
30
30 8
0 5
0 0
0 0
0 0
0 0 0 12
200 530 55
100 300 600 18
0 60 45
0 12400 65
0 0
5 5 2
0 11
10 10 3
0 18
0 0
0 0
60 30
0 5
0 0
0 0
0 0
0 0
200 52
400 101
300 800 76
0 0
0 0 0 0
0 0
0 0
0 0
0 0
0 0
5 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40 26
0 0 0 36
120 55
0 4
0 6
0 2
0 0
0 2
0 0
0 0
0 0
0 0
0 3
0 3
0 2
0 0
0 4
0 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 3
99 45
10 6
10 8
10 18
0 0
100 49
0 30
0 0
0 11
100 76
20 27
10 20 51
0 5 7
60 18
0 28
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 9
0 0
0 0
0 0
0 0
0 0
0 10
0 0
0 0
0 0
0 0
0 100 100 300 38
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 85 18
0 0
0 0
100 900 255
0 0
0 0
0 0
0 27
50 56
0 0
0 0
50 50
0 0
0 0
0 0
0 0
0 280 136
0 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
500 271
200 46
200 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Amprah Amprah Amprah Amprah
Rata 2018
1/16/2018 1/17/2018 1/23/2018 1/30/2018
113 0 0 VONY
VONY
2 0 0
117 50 0 DERBINA
43 0 0 100 VONY
#DIV/0! 0 None
#DIV/0! 0 None
#DIV/0! 0 None
64 0 0 VONY
22 0 0 VONY
40 0 0 SEPTIAN
2 0 EPIDAURUS
56 30 0 50 DERBINA
1001 1500 0 3000 VONY
22 0 0 30 EPIDAURUS
8 0 0 20 EPIDAURUS
#DIV/0! 0 None
13 100 100 200 VONY
10 0 0 EPIDAURUS
16 0 0 SEPTIAN
248 0 VONY
391 0 VONY
6 0 20 DERBINA
#DIV/0! 0 None
9 50 50 50 EPIDAURUS
25 0 50 100 DERBINA
26 25 50 100 DERBINA
659 0 0 VONY
#DIV/0! 0 None
5 0 0 DWI
None
#DIV/0! 0
None
#DIV/0! 0
DWI
6 0 0
DWI
18 20 0 20
DWI
2 0 0
4 5 5 25 DWI
None
#DIV/0! 0
VONY
328 1000 0 2000
DERBINA
97 0 100 0 200
DERBINA
1 0 0
2 0 0 DWI
5 0 0 DWI
35 0 50 DWI
None
#DIV/0! 0
YULIANTI
15 0 0
VONY
11 0 0
1381 960 0 SIDIK
5 0 0 SIDIK
#DIV/0! 0 None
#DIV/0! 0 None
334 0 500 1000 VONY
#DIV/0! 0 None
#DIV/0! 0 None
66 0 0 100 VONY
16 0 0 VONY
555 500 0 VONY
4 0 10 DERBINA
None
#DIV/0! 0
#DIV/0! 0 None
4294 3000 0 3000 VONY
#DIV/0! 0 VONY
#DIV/0! 0 None
#DIV/0! 0 None
495 0 300 500 VONY
100 0 0 100 VONY
2 0 0 5 SEPTIAN
17 0 0 VONY
4 0 0 DERBINA
#DIV/0! 0 None
39 0 0 200 VONY
120 0 0 200 VONY
806 0 0 1000 VONY
#DIV/0! 0 None
39 0 0 VONY
13 0 0 DWI
#DIV/0! 0 None
#DIV/0! 0 None
29 0 0 EPIDAURUS
66 0 0 None
2 0 0 10 DERBINA
42 0 0 VONY
#DIV/0! 0 None
#DIV/0! 0 None
None
4 10 10 10
44 50 50 50 VONY
557 0 0 500 VONY
#DIV/0! 0 None
3 10 0 DERBINA
1 0 0 DERBINA
203 100 0 200 DWI
10 0 0 DWI
12 0 0 VONY
131 0 0 200 VONY
35 0 0 VONY
1 0 0 DWI
DERBINA
3 0 5 5
25 0 0 VONY
None
#DIV/0! 0
EPIDAURUS
374 100 0
2 0 0 DERBINA
None
#DIV/0! 0
2 10 0 DWI
#DIV/0! 0 None
#DIV/0! 0 None
#DIV/0! 0 None
333 100 0 300 EPIDAURUS
631 0 0 1500 VONY
17 0 0 None
18 0 0 DERBINA
#DIV/0! 0 None
#DIV/0! 0 None
2 0 10 DERBINA
2 0 10 DERBINA
#DIV/0! None
24 100 100 100 SEPTIAN
6 0 0 20 SEPTIAN
8 0 0 20 SEPTIAN
#DIV/0! None
109 200 0 SEPTIAN
8 0 0 EPIDAURUS
8 0 0 EPIDAURUS
110 500 0 VONY
11 0 0 VONY
6 0 0 EPIDAURUS
14 0 0 VONY
32 0 0 YULIANTI
#DIV/0! None
7 0 0 VONY
23 0 0 100 SEPTIAN
SEPTIAN
23 0 0
60 0 50 EPIDAURUS
#DIV/0! None
20 0 0 VONY
36 30 30 100 DERBINA
1675 2000 2000 3000 VONY
#DIV/0! None
#DIV/0! None
55 0 0 EPIDAURUS
None
3 0 0
DERBINA
3 0 0 10
10 0 0 VONY
#DIV/0! None
#DIV/0! None
19 0 0 DWI
#DIV/0! None
None
#DIV/0!
124 200 500 1000 VONY
50 0 0 DWI
99 0 0 300 VONY
6 0 0 DERBINA
None
#DIV/0!
#DIV/0! None
86 100 0 VONY
2 5 0 None
#DIV/0! DWI
#DIV/0! None
#DIV/0! None
22 0 0 VONY
97 0 0 VONY
12 0 0 20 EPIDAURUS
2 0 0 VONY
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
None
#DIV/0!
#DIV/0! None
#DIV/0! None
15 100 100 100 SEPTIAN
86 0 0 100 SEPTIAN
4 0 0 SEPTIAN
23 0 0 SEPTIAN
31 0 0 VONY
41 0 0 VONY
46 0 0 100 VONY
#DIV/0! None
2 0 0 DERBINA
76 50 0 SEPTIAN
#DIV/0! None
246 500 0 VONY
191 100 0 200 EPIDAURUS
79 0 100 EPIDAURUS
1 0 0 SEPTIAN
#DIV/0! SIDIK
30 0 0 VONY
310 300 0 VONY
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
1 0 0 DERBINA
46 50 0 EPIDAURUS
31 30 30 100 DWI
#DIV/0! None
#DIV/0! None
None
78 100 300 300
421 300 200 500 EPIDAURUS
196 0 300 VONY
93 0 0 VONY
20 0 0 VONY
VONY
99 0 0
None
2 5 0
#DIV/0! VONY
100 100 0 EPIDAURUS
69 0 0 DERBINA
29 0 0 YULIANTI
35 50 0 YULIANTI
1 0 0 DERBINA
#DIV/0! None
#DIV/0! None
#DIV/0! None
8 0 0 VONY
#DIV/0! None
111 180 0 VONY
41 0 100 VONY
7 0 100 VONY
12 0 100 VONY
#DIV/0! None
22 0 0 100 VONY
308 0 0 VONY
6 10 10 10 DWI
40 100 100 100 VONY
20 0 0 VONY
#DIV/0! None
#DIV/0! None
#DIV/0! None
56 60 0 DERBINA
58 50 0 SIDIK
97 100 0 200 DERBINA
#DIV/0! None
2 0 0 None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! SEPTIAN
3 0 0 SEPTIAN
#DIV/0! SEPTIAN
3 0 0 None
#DIV/0! None
7 0 0 SEPTIAN
5 0 10 10 DWI
3 5 10 20 None
2 0 100 DWI
#DIV/0! None
21 0 0 VONY
#DIV/0! None
5 0 0 100 DERBINA
DERBINA
24 0 50 100
28 0 0 50 EPIDAURUS
806 0 500 500 VONY
1 0 0 YULIANTI
2 10 10 10 None
12 10 10 15 DWI
15 10 10 10 None
9 10 10 20 DWI
None
#DIV/0!
DWI
5 10 0
DWI
33 0 0
8 0 0 DWI
5 0 50 DERBINA
219 0 0 VONY
235 0 0 VONY
10 0 0 VONY
#DIV/0! None
DERBINA
1 0 0 5
DERBINA
3 3
DWI
97 50 0 100
EPIDAURUS
11 30 0
None
#DIV/0!
#DIV/0! None
#DIV/0! None
None
#DIV/0!
None
#DIV/0!
None
#DIV/0!
#DIV/0! None
None
#DIV/0!
#DIV/0! None
#DIV/0! None
#DIV/0! None
None
#DIV/0!
#DIV/0! None
8 0 VONY
#DIV/0! None
#DIV/0! None
51 0 0 EPIDAURUS
31 0 VONY
47 0 VONY
87 500 0 VONY
49 300 300 1000 VONY
123 300 300 1000 VONY
1 0 0 VONY
162 0 0 KHAIRANI
#DIV/0! 0 None
57 0 100 None
48 100 100 SIDIK
454 0 500 KHAIRANI
10 0 0 KHAIRANI
#DIV/0! None
12 0 0 24 EPIDAURUS
#DIV/0! None
#DIV/0! None
25 0 0 KHAIRANI
18 0 0 KHAIRANI
26 0 0 KHAIRANI
135 0 0 KHAIRANI
99 300 300 300 KHAIRANI
YULIANTI
26 0 0
YULIANTI
25 0 0
None
#DIV/0!
KHAIRANI
3 0 0
YULIANTI
24 0 0
773 0 1000 1000 None
917 3000 0 KHAIRANI
#DIV/0! None
17 0 0 SEPTIAN
7 0 20 25 DWI
#DIV/0! None
2 0 0 DERBINA
40 100 100 200 KHAIRANI
Rudi
75 0 0 50
None
46 0 0
2 0 0 DWI
3 0 0 50 DERBINA
1 0 0 DERBINA
#DIV/0! None
132 100 0 100 DWI
37 0 0 500 KHAIRANI
814 1500 2000 3000 EPIDAURUS
27 0 0 KHAIRANI
998 0 0 KHAIRANI
665 1600 0 1500 KHAIRANI
32 0 0 SEPTIAN
4 0 0 None
3 0 100 EPIDAURUS
38 0 0 KHAIRANI
326 600 0 KHAIRANI
22 0 0 EPIDAURUS
26 100 0 KHAIRANI
14 30 0 None
1 0 0 YULIANTI
2 0 0 DERBINA
2 0 0 DWI
#DIV/0! None
127 0 0 500 KHAIRANI
#DIV/0! None
1 0 0 5 DERBINA
#DIV/0! None
#DIV/0! None
#DIV/0! None
7 0 0 SEPTIAN
6 0 0 SEPTIAN
15 0 0 SEPTIAN
42 0 0 None
69 100 0 100 SEPTIAN
#DIV/0! None
#DIV/0! KHAIRANI
KHAIRANI
317 0 0 500
DERBINA
9 0 20 50
#DIV/0! None
DERBINA
1 0 0 10
DERBINA
2 12 0
#DIV/0! KHAIRANI
955 1000 1000 3000 YULIANTI
#DIV/0! EPIDAURUS
#DIV/0! None
3 0 0 DERBINA
7 0 0 DERBINA
#DIV/0! None
21 100 100 100 EPIDAURUS
350 600 0 KHAIRANI
None
#DIV/0!
#DIV/0! None
#DIV/0! None
DERBINA
245 200 0 100
1 0 0 DERBINA
2 0 0 DERBINA
None
#DIV/0!
SIDIK
5 10 0 10
SIDIK
#DIV/0! 10
SIDIK
17 0 0 10
SIDIK
#DIV/0!
SIDIK
#DIV/0!
SIDIK
7 0 20
SIDIK
2 0 0 10
SIDIK
48 0 0 50
DERBINA
325 0 0
DERBINA
#DIV/0!
SIDIK
1 0 0
None
#DIV/0!
DERBINA
10 0 0
None
#DIV/0!
None
#DIV/0!
None
#DIV/0!
DERBINA
#DIV/0!
DERBINA
#DIV/0!
1 0 0 DWI
#DIV/0! None
66 100 100 100 SIDIK
102 300 0 300 KHAIRANI
#DIV/0! None
5 100 100 100 KHAIRANI
234 0 EPIDAURUS
49 0 0 MUJAHID
#DIV/0! None
55 0 0 300 KHAIRANI
50 300 300 300 KHAIRANI
#DIV/0! None
#DIV/0! None
46 100 0 100 KHAIRANI
41 0 0 100 KHAIRANI
#DIV/0! None
2 0 0 SEPTIAN
#DIV/0! None
#DIV/0! None
DWI
4 0 0
#DIV/0! None
21 0 0 SIDIK
34 0 0 None
13 50 0 SIDIK
#DIV/0! None
#DIV/0! None
19 0 0 EPIDAURUS
278 0 0 KHAIRANI
211 300 300 500 KHAIRANI
124 0 0 EPIDAURUS
25 0 0 EPIDAURUS
#DIV/0! None
13 0 0 KHAIRANI
455 1000 0 KHAIRANI
43 200 0 KHAIRANI
#DIV/0! None
126 300 300 600 KHAIRANI
118 200 0 DWI
438 300 0 KHAIRANI
58 30 0 EPIDAURUS
#DIV/0! None
35 0 0 None
641 1000 1000 2000 KHAIRANI
#DIV/0! None
13 0 0 KHAIRANI
15 0 0 EPIDAURUS
15 0 0 KHAIRANI
15 0 0 None
320 0 150 100 SIDIK
1 0 0 None
#DIV/0! None
541 1000 0 KHAIRANI
44 50 0 SEPTIAN
4 0 10 DERBINA
300 300 300 500 KHAIRANI
None
17 0 0
SIDIK
20 50 50 100
#DIV/0! None
2 0 0 DERBINA
None
#DIV/0!
13 0 0 KHAIRANI
17 30 0 SEPTIAN
#DIV/0! SEPTIAN
#DIV/0! None
#DIV/0! None
6 10 0 SEPTIAN
#DIV/0! None
2 0 0 None
11 0 0 SIDIK
185 0 0 YULIANTI
#DIV/0! None
385 0 0 KHAIRANI
#DIV/0! YULIANTI
#DIV/0! None
3 10 0 DERBINA
1549 3000 0 2000 DERBINA
21 0 0 100 SIDIK
31 0 0 SIDIK
#DIV/0! None
2 0 0 DERBINA
14 0 0 KHAIRANI
EPIDAURUS
76 0 0 100
5 0 0 EPIDAURUS
#DIV/0! None
266 0 0 KHAIRANI
138 0 0 KHAIRANI
68 0 0 EPIDAURUS
9 0 0 20 DERBINA
#DIV/0! None
#DIV/0! None
52 100 100 EPIDAURUS
30 0 0 KHAIRANI
11 0 100 KHAIRANI
#DIV/0! None
#DIV/0! None
#DIV/0! None
17 50 0 50 DERBINA
#DIV/0! None
29 0 0 KHAIRANI
115 100 0 100 YULIANTI
2 0 0 10 DERBINA
1 0 0 DERBINA
1 0 0 DERBINA
2 0 0 YULIANTI
451 300 0 DWI
1 0 0 None
#DIV/0! SEPTIAN
#DIV/0! None
#DIV/0! None
2249 1500 1000 1500 KHAIRANI
#DIV/0! None
229 300 0 KHAIRANI
DWI
4 0 0 30
#DIV/0! DWI
#DIV/0! None
#DIV/0! None
#DIV/0! None
14 10 10 50 DERBINA
199 100 0 200 SIDIK
143 50 0 300 DERBINA
40 0 0 100 DWI
5533 6000 0 3000 KHAIRANI
#DIV/0! None
6 0 5 DERBINA
14 0 0 YULIANTI
2 0 0 10 DERBINA
1 0 0 SEPTIAN
#DIV/0! None
#DIV/0! None
15 60 0 KHAIRANI
DERBINA
#DIV/0!
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
42 100 0 KHAIRANI
87 300 0 KHAIRANI
140 300 0 300 KHAIRANI
21 0 0 None
2 100 100 100 KHAIRANI
1 0 0 None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
2 0 0 DERBINA
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
12 12 0 None
12 12 0 None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
31 20 0 50 Mujahid
35 100 100 100 Rudi
38 100 0 Rudi
1 0 Rudi
1 0 Rudi
#DIV/0! Rudi
#DIV/0! Rudi
1 0 Rudi
#DIV/0! Rudi
#DIV/0! Rudi
#DIV/0! Rudi
1 0 Rudi
1 0 Rudi
2 0 Rudi
1 0 Rudi
#DIV/0! Rudi
3 0 Rudi
2 0 Rudi
2 0 0 Rudi
3 0 0 Rudi
#DIV/0! Rudi
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
50 0 0 None
#DIV/0! None
None
#DIV/0!
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
5 10 0 Mujahid
22 50 0 Mujahid
2 10 0 Mujahid
2 10 0 Mujahid
5 10 0 Mujahid
6 10 0 None
33 50 0 Mujahid
11 50 0 Mujahid
#DIV/0! None
2 10 0 Mujahid
76 50 0 Mujahid
6 0 0 Mujahid
16 10 0 10 Mujahid
2 10 0 50 Mujahid
14 50 0 Mujahid
2 0 0 Mujahid
#DIV/0! None
None
#DIV/0!
None
#DIV/0!
None
#DIV/0!
None
#DIV/0!
None
#DIV/0!
None
#DIV/0!
None
#DIV/0!
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
Lina
2 0 0
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
2 0 0 Lina
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
81 100 50 100 Mujahid
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
None
#DIV/0!
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
11 20 0 50 Mujahid
#DIV/0! None
394 0 None
515 500 0 100 Rudi
None
#DIV/0!
None
#DIV/0!
#DIV/0! None
6 0 Rudi
Rudi
55 0
#DIV/0! None
#DIV/0! None
73 50 0 Rudi
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
217 200 0 100 Rudi
5 0 Mujahid
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
438 0 0 Rudi
35 200 0 Rudi
12 200 0 Rudi
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
#DIV/0! None
TOTAL AMPRAH
FISIK FISIK 6/2/19
DENGAN Kemasan
HASIL 21/1/19 30/1/19
PINJAMAN Per Box
PINJAMAN
TABLET 0 625 0
TABLET
0 100 0
INFUS 0 299 216 100
TABLET 0 286 0
0 0 0
0 0 0
0 0 0
TABLET 0 193 300
TABLET 0 215 300
NARKO 0 188 0
INJEKSI 0 3 0
SIRUP 0 169 50 100
TABLET 0 6523 2000
INJEKSI 0 85 30 50
INJEKSI 0 51 24 0
0 0 0
TABLET 0 0 0
INJEKSI 0 57 0
NARKO 0 25 0
TABLET 0 619 389 500
TABLET 0 1007 733 500
SIRUP 0 24 20 30
0 0 0
INJEKSI 0 0 50
SIRUP 0 0 50
SIRUP 0 43 50
TABLET 0 2447 1000
0 0 0
KULKAS 0 38 0
0 0 0
0 0 0
KULKAS
0 14 0
KULKAS
0 78 53 50
KULKAS
0 0 0
KULKAS 0 5 5
0 0 0
TABLET
0 2360 ? 1500
SIRUP
0 257 55 100
LUAR
0 24 20
KULKAS 0 6 0
KULKAS 0 15 0
KULKAS 0 112 100
0 0 0
TABLET
0 70 0
TABLET
0 239 0
HIGH ALERT 0 2841 ? 480 2880
HIGH ALERT 0 13 0
0 0 0
0 0 0
TABLET 0 720 500
0 0 0
0 0 0
TABLET 0 241 0
TABLET 0 525 0
TABLET 0 1670 1000
LUAR 0 16 20
0 0 0
0 0 0
TABLET 0 9935 ? 6000
TABLET 0 0 0
0 0 0
0 0 0
INJEKSI 0 1032 300
TABLET 0 1584 350 1000
TABLET 0 411 100
NARKO 0 9 0
TABLET 0 54 0
LUAR 0 25 20
0 0 0
TABLET 0 111 0
TABLET 0 333 300
TABLET 0 2198 ? 1000
0 0 0
TABLET 0 122 0
KULKAS 0 35 34 0
0 0 0
0 0 0
INJEKSI 0 120 30
0 0 0
SIRUP 0 17 48 0
TABLET 0 451 100
0 0 0
0 0 0
LUAR
0 0 10
TABLET 0 11 50
TABLET 0 1410 618 600
0 0 0
LUAR 0 11 0
LUAR 0 70 0
KULKAS 0 344 135 200
KULKAS 0 82 50
TABLET 0 106 0
TABLET 0 580 ? 300
TABLET 0 206 100
KULKAS 0 7 0
SIRUP
0 2 5
TABLET 0 111 100
0 0 0
INJEKSI
0 498 310 300
LUAR 0 5 0
0 0 0
KULKAS 0 19 19 0
0 0 0
0 0 0
0 0 0
INJEKSI 0 707 300
TABLET 0 2927 1000
0 0 0
INFUS 0 88 60
0 0 0
0 0 0
LUAR 0 16
LUAR 0 14
0 0
NARKO 4 157 100
NARKO 0 40 ? 20
NARKO 0 45 ? 20
0 0
NARKO 0 449 300
INJEKSI 0 61 0
INJEKSI 0 48 30
TABLET 0 825 0
TABLET 0 200 0
INJEKSI 0 27 20
TABLET 0 166 0
TABLET 0 146 0
0 0
TABLET 0 24 0
NARKO 0 128 0
NARKO
0 114 0
INJEKSI 0 185 79 150
0 0
TABLET 0 50 0
SIRUP 0 26 50
TABLET 0 2170 3000
0 0
0 0
INJEKSI 0 160 149 100
0 0 0
SIRUP
0 16 0
TABLET 0 92 0
0 0
0 0
KULKAS 0 45 64 0
0 0
0 0
TABLET 0 27 500
KULKAS 0 237 100
TABLET 0 200 0
SIRUP 0 7 0
0 0
0 0
TABLET 0 273 0
0 0 0
KULKAS 0 10
0 0
0 0
TABLET 0 28 0
TABLET 0 221 ? 300
INJEKSI 0 39 23 25
TABLET 0 40 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
NARKO 9 61 100
NARKO 0 226 100
NARKO 0 49 0
NARKO 0 100 0
TABLET 0 102 0
TABLET 0 206 0
TABLET 0 262 ? 0
0 0
LUAR 0 2 0
NARKO 0 185 ? 100
0 0
TABLET 0 991 500
INJEKSI 0 625 200
INJEKSI 0 249 200
NARKO 0 15 0
HIGH ALERT 0 10
TABLET 0 21 50
TABLET 0 982 ? 500
0 0
0 0
0 0
0 0
0 0
LUAR 0 2 0
INJEKSI 0 122 50
KULKAS 0 16 50
0 0
0 0
TABLET
0 0 500
INJEKSI 0 858 1000
TABLET 0 779 ? 1000
TABLET 0 232 0
TABLET 0 280 0
TABLET
0 268 0
0 0 100
TABLET 0 0
INJEKSI 0 283 196 100
LUAR 0 112 50
MATA 0 98 50
MATA 0 95 50
LUAR 0 4 0
0 0
0 0
0 0
TABLET 0 137 0
0 0
TABLET 0 429 200
TABLET 0 333 100
TABLET 0 0 100
TABLET 0 0 100
0 0
TABLET 0 98 ? 0
TABLET 0 587 ? 500
KULKAS 0 0 10
TABLET 0 240 100
TABLET 0 278 100
0 0
0 0
0 0
INFUS 0 191 100
HIGH ALERT 0 149 100
INFUS 0 450 200
HIGH ALERT 0 0
0 0 0
0 0
0 0
TABLET 0 0
0 0
0 0
0 0
NARKO 0 2
NARKO 0 16 0
NARKO 0 0
0 0 0
0 0
NARKO 0 127 0
KULKAS 0 25 6 20
LUAR 0 0 10
KULKAS 0 8 100
0 0
TABLET 0 73 0
0 0
LUAR 0 144 0
INFUS
10 181 13 100
INJEKSI 0 179 50
TABLET 0 2557 1000
MATA 0 3 ? 0
KULKAS 0 0 20
KULKAS 26 39 20
KULKAS 0 0 20
KULKAS 0 15 20
0 0
KULKAS
0 14 5
KULKAS
0 76 38 50
KULKAS 0 40 38
SIRUP 0 62 20
TABLET 0 1162 ? 0
TABLET 0 0 ? 0
TABLET 0 300 0
0 0
LUAR
0 6 0
LUAR
0 0 0
KULKAS
0 133 83 100
INJEKSI
0 65 64 50
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TABLET 0 69 0
0 0
0 0
INJEKSI 0 146 50
TABLET 0 126 100
TABLET 0 122 ? 0
TABLET 0 711 300
TABLET 0 0 1000
TABLET 200 431 1000
TABLET 0 60 0
TABLET 0 0 0
0 0
TABLET 0 100 100
HIGH ALERT 0 151 100
TABLET 0 1926 ? 600
TABLET 0 50 0
0 0
INJEKSI 0 82 54 24
0 0
0 0
TABLET 0 76 0
TABLET 0 375 0
TABLET 0 176 0
TABLET 0 409 ? 300
TABLET 0 105 300
TABLET
0 98 0
TABLET
0 16 0
0 0
TABLET
0 6 0
TABLET
0 143 0
TABLET 0 0 2000
TABLET 0 6043 ? 10000 2000
0 0
NARKO 0 95 0
KULKAS 0 45 7 20
0 0
LUAR 0 4 0
TABLET 0 100 100
BMHP 2
0 241 ? 10 100
BMHP
0 0 10 100
KULKAS 0 2 2 0
LUAR 0 68 0
LUAR 0 3 3 0
0 0
KULKAS 0 425 100
TABLET 0 790 0
INJEKSI 0 694 2500
TABLET 0 63 ? 0
TABLET 0 879 0
TABLET 0 4856 1500
NARKO 0 142 0
0 0 0
INJEKSI 0 113 0
TABLET 0 134 0
TABLET 0 1384 1000
INJEKSI 0 48 0
TABLET 0 4 0
0 0 0
MATA 0 22 0
SIRUP 0 5 0
KULKAS 0 3 0
0 0
TABLET 0 194 300
0 0
LUAR 0 9 5
0 0
0 0
0 0
NARKO 0 80 0
NARKO 0 41 0
NARKO 0 103 0
NARKO 0 0 0
NARKO 0 447 ? 300
0 0
TABLET 0 120
TABLET
0 1208 ? 500
SIRUP
0 0 50
0 0
LUAR
0 9 2 3
LUAR
0 13 0
TABLET 0 60
TABLET 0 2053 2000
INJEKSI 0 30
0 0
SIRUP 0 0 0
SIRUP 0 12 0
0 0
INJEKSI 0 144 100
TABLET 0 1607 ? 600
0 0
0 0
0 0
INFUS
0 755 264 300
LUAR 0 3 0
LUAR 0 2 0
0 0
HIGH ALERT
0 15 ? 20
HIGH ALERT
0 20
HIGH ALERT
0 54 24 20
HIGH ALERT
0 0
HIGH ALERT
0 0
HIGH ALERT
0 53 ? 30
HIGH ALERT
0 16 10
HIGH ALERT
0 119 24 50
INFUS
0 3 0
INFUS
0 0
HIGH ALERT
0 8 0
0 0
INFUS
0 50 51 100
0 0
0 0
0 0
INFUS
0 20
INFUS
0 20
KULKAS 0 5 4 0
0 0
HIGH ALERT 0 47 100
TABLET 0 806 ? 300
0 0
TABLET 0 90 100
INJEKSI 0 503 380 300
BMHP 1 0 101 5 50
0 0
TABLET 0 95 0
TABLET 0 158 300
0 0
0 0
TABLET 0 303 0
TABLET 0 59 0
0 0
NARKO 0 98 0
0 0
0 0
KULKAS
0 11 11 0
0 0
HIGH ALERT 0 100 ? 100
0 0
HIGH ALERT 0 66 ? 10 30
0 0
0 0
INJEKSI 0 84 50
TABLET 0 886 500
TABLET 0 404 500
INJEKSI 0 471 10 0
INJEKSI 0 86 0
0 0
INJEKSI 0 284 0
TABLET 0 86 0
TABLET 0 1920 1500
TABLET 0 362 300
0 0
TABLET 0 155 300
KULKAS 0 360 319 200
TABLET 0 884 300
INJEKSI 0 121 0
0 0
TABLET 0 0 0
TABLET 0 207 1500
TABLET 0 0
TABLET 0 133 0
INJEKSI 0 66 66 0
TABLET 0 170 0
TABLET 0 0 0
HIGH ALERT 0 516 ? 16 500
0 0 0
0 0
TABLET 0 1819 ? 1500
NARKO 0 106 ? 50
LUAR 0 17 0
TABLET 0 299 1000
INFUS
0 0 0
HIGH ALERT
0 0 100
0 0
LUAR 0 22 0
0 0
TABLET 0 84 0
NARKO 0 60 0
NARKO 0 0
0 0
0 0
NARKO 0 11 ? 0
0 0
0 0 0
HIGH ALERT 0 38 0
TABLET 0 427 200
0 0
TABLET 0 859 ? 500
MATA 0 4
0 0
LUAR 0 14 20
INFUS 0 4860 2973 4000
HIGH ALERT 0 50 50
HIGH ALERT 0 66 40 60
0 0
SIRUP 0 0 0
TABLET 0 31 0
INJEKSI
0 232 109 100
INJEKSI 0 18 0
0 0
TABLET 0 1427 300
TABLET 0 467 ? 300
INJEKSI 0 224 100
SIRUP 0 31 0
0 0
0 0
INJEKSI 0 182 150
TABLET 0 30 0
INJEKSI 0 217 100
TABLET 0 391 100
0 0
0 0
0 0
SIRUP 0 68 24 100
0 0
TABLET 0 105 ? 0
MATA 0 259 ? 200
LUAR 0 13 2 0
LUAR 0 1 0
LUAR 0 3 0
MATA 0 3 0
KULKAS 0 870 590 600
0 0 0
NARKO 0 30
0 0
0 0
INJEKSI 0 1008 60 1000
TABLET 0 6383 2910 3000
INJEKSI 0 4629 1120 180 3000
0 0
TABLET 0 782 300
KULKAS
0 38 0
KULKAS 0 5
INJEKSI 0 0
0 0
0 0
SIRUP 0 12 30
HIGH ALERT 0 585 156 1 BOX = 24 300
SIRUP 0 618 14 200
KULKAS 0 105 39 50
TABLET 0 12465 9000
0 0
LUAR 0 7 5
TABLET 0 11 0
LUAR 0 13 0
NARKO 0 18 0
0 0
0 0
TABLET 0 90 0
SIRUP
0 5
0 0
INJEKSI 0 0
0 0
0 0
TABLET 0 252 300
TABLET 0 501 300
TABLET 0 876 300
0 0 0
TABLET 0 0 100
0 0 0
0 0
0 0
0 0
0 0
LUAR 0 9 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0
0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
BMHP 1 0 66 20
BMHP 2 0 36 100 100
BMHP 2 0 175 100 100
BMHP 2 0 4 0
BMHP 2 0 6 0
BMHP 2 0 2
BMHP 2 0 0
BMHP 2 0 2 0
BMHP 2 0 0
BMHP 2 0 0
BMHP 2 0 0
BMHP 2 0 0 0
BMHP 2 0 3 0
BMHP 2 0 3 0
BMHP 2 0 2 0
BMHP 2 0 0
BMHP 2 0 4 0
BMHP 2 0 2 0
BMHP 2 0 0 0
BMHP 2 0 0 0
BMHP 2 0 0
0 0
0 0
0 0
0 0
0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
BMHP 1 0 13 0
BMHP 1 0 144 50
BMHP 1 0 16 0
BMHP 1 0 18 0
BMHP 1 0 28 0
0 0 0
BMHP 1 0 149 50 50
BMHP 1 0 30 0
0 0
BMHP 1 0 11 0
BMHP 1 0 176 100
BMHP 1 0 47 20
BMHP 1 0 71 20
BMHP 1 0 12 0
BMHP 1 0 78 50
BMHP 1 0 28 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Lemari Alkes 0 9 0
0 0
0 0
0 0
0 0
0 0
Lemari Alkes 0 10 0
0 0
0 0
0 0
0 0
BMHP 1 0 338 36 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
BMHP 1 0 103 50
0 0
0 0 0
BMHP 2 0 1155 50 800
0 0
0 0
0 0
BMHP 2 0 27 0
BMHP 2
0 106 100
0 0
0 0
BMHP 2 0 100 100
0 0
0 0
0 0
0 0
BMHP 2 0 416 300
BMHP 1 0 37 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
BMHP 2 0 771 600
BMHP 2 0 246 0
BMHP 2 0 220 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1-Jan 2-Jan 3-Jan
1-Jan 2-Jan 3-Jan
Acetyl cysteine/ N-asetil sistein kapsul 200
1 Kapsul 358.00
mg
Adenosin triposfat disodium tablet 20 mg
2 Tablet 1,885.00
(ATP Dankos/Bio ATP)
Amiodaron injeksi 150 mg/3 ml (Kendaron /
18 Ampul 8,700.00
Tyarit)
Flexpen
Analog Insulin long acting inj 100 UI/ml
29 disposible 3 83,950.00
(Levemir)
ml
Analog insulin mix acting inj 100 UI/ml

Flexpen
(Premix 30% Insulin Aspart dan 70%
30 disposible 3 110,968.00
Protaminated Insulin Aspart (Analogue))
ml
(Novomix)
Flexpen
Analog Insulin mix insulin Inj 100 UI/ml
31 disposible 3 110,968.00
(Humalog mix 25 kwikpen)
ml
Analog Insulin rapid acting Inj 100 UI/ml

32 Pen 87,000.00
(Humalog kwikpen)
Analog insulin rapid acting inj 100 UI/ml, Flexpen

33 vial/cartridge disposible/penfill cartridge disposible 3 87,000.00
(Insulin Aspart (Analogue)) (Novorapid) ml
34 vial/cartridge disposible/penfill cartridge Pen 87,000.00
(Insulin glulisine 100 IU/ml) (Apidra)
Anastesi topikal menganddung Lidokain HCl

36 Tube 5 gr 41,580.00
2.5%; Prilokain HCl 2.5% (Topsy Cream)
Antasida DOEN I tablet kunyah kombinasi

37 Alumunium hidroksida 200 mg dan Tablet 54.00
Magnesium hidroksida 200 mg
Antasida DOEN II suspensi kombinasi

38 Alumunium hidroksida 200 mg/5 ml dan Botol 60 ml 1,995.00
Magnesium hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi

39 Basitrasin 500 IU/g dan Polimiksin 10,000 Tube 2,516.80
IU/g
Antimalaria DOEN kombinasi Pirimetamin
43 Tablet 616.00
25 mg dan Sulfadoksin 500 mg
Antimigren tablet kombinasi Ergotamin
44 Tablet 173.00
Tartrat 1 mg dan Kofein 50 mg
Antiparkinson DOEN tablet kombinasi

45 Benserazid 25 mg dan Levodopa 100 mg Tablet 1,030.00
(Levopar)
dermatitis anak (Lactacyd baby)
57 Btl/60 ml 17,823.00

Atrakurium desilat injeksi 50 mg / 5 ml
75 Ampul 19,800.00
(Notrixum)
Atropin (sulfat) tetes mata 0,5 % (C.
76 Botol 5 ml 11,385.00
Tropine)

Benzydamine HCL 7,5 mg/ml (Tantum Verde
84 Botol 23,100.00
Oral Rinse 60 ml)
Betametason krim 0,5 mg/gram (Sebagai

89 Tube 3,350.00
Valerat)
Bisakodil suppositoria 10 mg (dewasa)
90 Supp 5,370.00
(Dulcolax)
Bisakodil suppositoria 5 mg (anak)
91 Supp 5,670.00
(Dulcolax)
92 Bisakodil tablet 5 mg Tablet 300.00
93 Bisoprolol tablet 2,5 mg (Concor) Tablet 597.00
94 Bisoprolol tablet 5 mg Tablet 236.00
95 Brinzolamide tetes mata 1 % (Azopt) Botol 3 ml 130,000.00
Bromheksin HCl sol for Inhalasi 2 mg/ ml
96 Botol / 50 ml 72,864.00
(Bisolvon sol)
97 Bromokriptin tablet 2,5 mg (Cripsa) Tablet 13,024.00
Dus, 1
Budesonid formoterol 80/4.5 mcg 60 dosis
98 Turbuhaler @ 125,840.00
(Symbicort 80)
120 dosis
Budesonid respul / cairan inhaler 0,25 mg/ml

99 Respule 9,725.00
(Pulmicort)
Budesonid swinghaler 200 mcg/dosis
100 Unit 103,000.00
(Obucort)
Dus, 1
Budesonid-formoterol (fixed combination)
101 Turbuhaler @ 139,880.00
inhaler 160/4,5 mcg (Symbicort 160)
120 dosis
102 Bupivacain HCl injeksi 0,5 % (P.V) Ampul 79,421.10
103 Cavit G Botol 190,000.00
104 Composite Bonding Tube 842,600.00
105 Composite Posterior-anterior Unit 371,250.00
106 Deksametason injeksi i.v. 5 mg/ml Ampul 1,097.00
107 Deksametason tablet 0,5 mg Tablet 44.00
108 Deksketoprofen injeksi 50 mg/ 2 ml Ampul 26,400.00
Plastic Bottle
109 Dekstros 10, 1/5 NS 15,939.00
500 ml
110 Dental Stone (Prestia Blue) 1 Kg 42,350.00
111 Desogestrel tablet 75 mcg Box 28 Tablet 55,066.00
112 Desoksimetason krim 0,25 % Tube 10,400.00
113 Desoksimetason salep 0,2 % (Inerson) Tube 15,950.00
114 Devitalisasi pasta (non arsen) (Septodont) Unit 1,485,000.00
115 Diazepam injeksi 5 mg/ml Ampul 1,735.00
120 Difenhidramin injeksi 10 mg/ml Ampul 1,095.00
121 Digoksin injeksi 0,25 mg/ml Ampul 25,300.00
122 Digoksin tablet 0,25 mg Tablet 104.00
123 Diltiazem HCl tablet 30 mg Tablet 127.00
124 Diltiazem injeksi 50 mg (Herbesser) Ampul 154,400.00
Diltiazem kapsul SR 100 mg (Herbesser
125 Tablet 4,460.00
CD)
126 Dimenhidrinat tablet 50 mg Tablet 99.00
Dinatrium edetat tetes mata 0,35 %
127 Btl 15 ml 37,500.00
(C.EDTA TM)
128 Dioctahedral Smectite serbuk (Smecta) Sachet 3,080.00
Divalproex natrium tablet 250 mg
129 Tablet 1,200.00
(Depakote)
Divalproex natrium tablet lepas terkendali
130 Tablet 5,928.00
500 mg (Depakote ER)
131 Dobutamin injeksi 50 mg/ml Ampul 11,279.00
132 Doksazosin mesilat tablet 2 mg (Cardura) Tablet 5,480.00
133 Doksisiklin kapsul 100 mg Tablet 264.00
134 Domperidon sirup 5 mg/5 ml Botol 2,700.00
135 Domperidon tablet 10 mg Tablet 85.00
136 Donepezil HCl tablet 5 mg Tablet 6,600.00
Donepezil tablet Effervesent 10 mg
137 Tablet 12,485.00
(Aricept )
138 Dopamin injeksi 40 mg/ml (Cetadop) Ampul 6,160.00
Drop mengandung : 115,4 mg Sodium
139 Feredetate setara dengan 15 mg besi eleme Botol 15 ml 24,750.00
n (Ferriz Drop)
Drop mengandung Vit A 2000iu, vit B1

1mg, vit B2 1,2 mg,Vit B6 1 mg, vit B12 2 m
140 cg, Drop 29,040.00
vit c 30 mg, vit D 400iu, nikotamid 10 mg, lys
in HCl 25 mg,panthothenol 5 mg (Apialys)
141 Dutasterid kapsul lunak 0,5 mg (Avodart) Tablet 4,700.00

144 Efedrin HCl injeksi 50 mg/ml Ampul 8,569.00
145 Endomethason Pasta (Septodont) Btl 14 gr 565,125.00
Enema mengandung Monobasic sodium
146 Botol/133 ml 85,469.00
fosfat dan Dibasic sodium fosfat (Fleet)
147 Eperison HCl tablet 50 mg Tablet 1,092.63
Epinefrin (Adrenalin) injeksi 0,1 % (sebagai
148 Ampul 1,408.00
HCl)
149 Erdostein kapsul 300 mg (Vostrin) Kapsul 2,763.75
150 Erdostein sirup 175 mg/5 ml Botol 33,000.00
Ergokalsiferol (vitamin D3/D2) sirup 50.000
151 Botol 650.00
UI/ml (D-vit)
152 Eritromisin sirup 200 mg/ 5 ml Botol 7,700.00
153 Eritromisin Tablet 500 mg Tablet 750.00
154 Eritropoetin-alfa injeksi 2000 UI/ml (Eprex) Prefiled syringe 99,000.00
Eritropoetin-alfa injeksi 3000 UI/ml
155 Ampul 93,500.00
(Hemapo)
156 Escitalopram tablet 10 mg (Cipralex) Tablet 18,660.40
157 Etakridin larutan 0,1 % Botol 3,520.00
160 Etamsilat injeksi 250 mg/2 ml (Dycinone) Ampul 38,646.67
161 Etamsilat tablet 500 mg (Dycinone) Tablet 11,594.00
162 Etanol cairan 70 % Btl 100 ml 2,500.00
163 Etanol cairan 95 % ml 56.00
164 Etching Gel Botol 183,700.00
165 Etil klorida spray Botol 220,000.00
166 Etinilestradiol tablet 0,05 mg (Lynoral) Tablet 1,360.00
167 Eugenol cairan Botol 74,250.00
168 Faktor IX Kompleks 500 iu/vial (Octanine) Vial 4,620,000.00
Faktor VIII serb inj 230-340 IU (Haemoctin
169 Vial 950,000.00
250)
Faktor VIII serbuk injeksi 500 iu + pelarut 5
170 Vial 1,900,000.00
ml (Octanate 500 iu)
Feksofenadin HCl tablet 120 mg (Telfast
171 Tablet 8,171.90
OD)
172 Feksofenadin HCl tablet 30 mg (Telfast 30) Tablet 3,080.00
173 Fenitoin injeksi 50 mg/ml Ampul 3,738.00
174 Fenitoin kapsul 100 mg Kapsul 158.00
175 Fenobarbital injeksi i.m/i.v 50 mg/ml Ampul 1,857.00
176 Fenobarbital tablet 30 mg Tablet 171.00
179 Fenoksimetil Penisilin tablet 500 mg Tablet 629.00
180 Fenol Kristal Gram 74.00
Fenoterol HBr inhaler 100 mcg/puff (Berotec Box, canister
181 83,190.00
MDI) 10mL
182 Fentanil injeksi i.m/i.v 0,05 mg/ml Ampul/2 ml 41,600.00
183 Finasterid tablet 5 mg (Finpro) Tablet 2,090.00
Fitomenadion (Vitamin K1) tablet salut gula
184 Tablet 710.00
10 mg
187 Flufenazin injeksi i.m 25 mg/ml (Sikzonate) Ampul 59,800.00
188 Flukonazol larutan infus 2 mg/ml Botol 36,300.00
189 Flukonazol tablet 150 mg Tablet 18,000.00
190 Flunarizin tablet 5 mg Tablet 962.50
191 Fluoksetin tablet 10 mg (Foransi) Tablet 419.00
192 Fluoksetin tablet 20 mg (Prestin/Elizac) Tablet 2,017.00
193 Fluorometolon Tetes mata 0,1% (Ocuflam) Botol 5 ml 28,500.00
194 Fluorometolon tetes mata 1 mg (C. Posop) MD 0.6 ml 10,626.00
195 Fluorourasil injeksi 500 mg / 5 ml (Curacil) Vial 36,050.00
196 Flutikason furoat intranasal spray (Avamys) Botol 107,120.00
Flutikason propionat nebules 0,5 mg

197 Nebules 14,929.00
(Flixotide)
Fondaparinuks injeksi 2,5 mg/0,5 mL
198 Pfs 0,5 mL 248,950.00
(Arixtra)
199 Formalin sol. Liter 19,000.00
200 Formalin tablet Tablet 300.00
Fructus schizandrae (extract siccum) kapsul
201 Kapsul 4,537.50
7,5 mg Hepatoprotektor (Hp Pro)
202 Furosemid injeksi i.v./i.m.10 mg/ ml Ampul 1,333.00
203 Furosemid tablet 40 mg Tablet 85.00
Garam oralit kombinasi nNtrium klorida 0,52

206 g dan Kalium klorida 0,30 g dan Trinatrium Sachet 342.00
sitrat 0,58 g dan Glukosa anhidrat 2,7 g
Gel mengandung Placenta extract 10 % dan

207 Tube 14,993.00
neomycin sulfate 5 mg gel (Bioplacenton)
208 Gemfibrozil kapsul 300 mg Kapsul 371.00

209 Gentamisin injeksi 80 mg/2 ml Ampul 3,509.00
210 Gentamisin salep kulit 0,1 % Tube 1,743.39
211 Gentamisin sulfat salep mata 0,3 % Tube @ 3,5 gr 2,675.00
212 Gentamisin sulfat tetes mata 3 mg Botol 4,232.00
213 Gentian violet larutan 1% Botol 10 ml 3,300.00
214 Glass ionomer cement ART Set/botol 521,235.00
217 Glibenklamida tablet 5 mg Tablet 119.00
218 Gliklazid tablet 80 mg (Glucodex) Tablet 235.00
Gliklazid tablet lepas lambat 60 mg
219 Tablet 3,014.00
(Diamicron)
223 Glipizid tablet 5 mg Tablet 4,441.10
224 Gliquidon tablet 30 mg Tablet 1,000.00
225 Gliseril guaikolat tablet 100 mg (Guafenesin) Tablet 76.19
226 Gliseril trinitrat injeksi 5 mg/ml (DBL) Ampul 127,500.00

Gliseril trinitrat kapsul SR 2,5 mg (Nitrokaf
227 Kapsul 1,560.00
retard)
Gliseril trinitrat kapsul SR 5 mg (Nitrokaf
228 Tablet 2,402.00
forte)
Gliseril trinitrat tablet sublingual 0,5 mg
229 Tablet 1,500.00
(Nitral)
Gliserin anhidrat tetes mata 3 mg (C.
230 Botol 5 ml 11,797.50
Opthalgon)
231 Gliserin DOW Botol 250,000.00
232 Glukosa larutan infus 10 % steril botol @ 500 ml 7,500.00
233 Glukosa larutan infus 40% steril Ampul 25 ml 9,009.00
234 Glukosa larutan infus 5 % steril Kolf /500 ml 6,900.00
235 Glukosa larutan infus 5% steril 100 ml Botol 7,700.00
236 Glukosamin HCl tablet 500 mg Tablet 1,197.63
237 Glukosamin krim Tube/30 gram 62,538.00
238 Griseofulvin micronized tablet 125 mg Tablet 263.74
239 Griseofulvin micronized tablet 500 mg Tablet 1,774.20
240 Griseofulvin tablet 250 mg Tablet 1,705.00
241 Gutta Percha No. 45-80 box 77,440.00
242 Gutta Percha No.15-40 box 77,440.00
243 Haloperidol drop 2 mg / ml (Lodomer) Btl/15 ml 18,700.00
244 Haloperidol injeksi 5 mg/ml (Lodomer) Ampul 4,000.00
245 Haloperidol injeksi 50 mg/ml (Haldol) Ampul 101,300.00
248 Haloperidol tablet 5 mg Tablet 56.00
249 Heparin injeksi 5000 UI/ml Vial 43,995.00
Heparin Natrium 200 iu/gr jeli
250 Tube 35,200.00
(Thromboflash)
251 Hepatitis B Immunoglobulin (Hyperhep B) Buah 1,325,000.00
252 Hidrogen Peroksida 50% ml 55.00
253 Hidroklortiazid tablet 25 mg Tablet 155.00
254 Hidrokortison krim 1 % Tube 2,787.00
255 Hidrokortison krim 2,5 % Tube 2,475.00
Hidroksil etil starch (HES) larutan infus 6 %
256 Botol 24,684.00
BM 130 (Voluven)
257 Hiosin butil bromid injeksi 20 mg/ml Ampul 8,800.00
258 Hiosin butil bromid tablet 10 mg (Hyorex) Tablet 1,122.00
Homatropin (HBr) tetes mata 2% (C.
259 Botol 5 ml 35,926.00
Homatro)
261 Human Albumin 25 % 100 ml Botol 100 ml 1,510,000.00
Human insulin Glargine injeksi 100 IU/ml
263 Pen @ 3 ml 83,950.00
(Lantus)
Human insulin intermediate acting inj 100 Dus, 1 Vial @

264 138,000.00
UI/ml, vial (Insulin Human Basal)(Humulin N) 5 ml
Human insulin short acting injeksi 100 UI/ml,

265 Vial 144,763.00
vial (Actrapid)
Human tetanus imunoglobulinn injeksi i.m.
266 Prefilled syringe 176,800.00
250 UI (Tetagam)
267 Ibuprofen suppositoria 125 mg (Proris) Supp 5,170.00
268 Ibuprofen suspensi 100 mg/5 ml Botol 2,365.00
Inhaler mengandung Salmeterol 25 mcg;
273 Flutikason propionat 100 mcg (Seretide Botol 120 dosis 103,817.00
inhaler)
Inhaler mengandung Salmeterol 50 mcg;

Foil strip 60
274 Flutikason propionat 250 mcg (seretide 116,687.00
dosis
inhaler)
Injeksi mengandung Bupivakain injeksi 0,50
275 Ampul 50,050.00
% (HCl) dan Glukosa 8% (Regivell)
Injeksi mengandung Fursutiamin HCl 25

276 mg/ml dan Glukosa 2000 mg/ml (Alinamin Ampul 8,360.00
F/Furamin)
Injeksi mengandung Lidokain 2% (HCl) dan

277 Ampul 1,152.00
Epinefrin 1 : 80.000 - 2ml
Injeksi mengandung Mepivakain 2 % dan
278 Box 429,000.00
adrenalin
Injeksi mengandung Mepivakain 3 % dan
279 Box 429,000.00
adrenalin
Injeksi mengandung Sefoperazon 500 mg
280 Vial 143,000.00
dan Sulbaktam 500 mg
Injeksi mengandung Sulbaktam 250 mg dan
281 Vial 88,000.00
Ampisilin 500 mg (Bactesyn)
Injeksi Vitamin B Komplek mengandung B1

282 100 B6 100 B12 5000 ug B1 100 B6 100 Ampul 5,500.00
B12 5000 ug
283 Instrument Spray (Pana spray) Botol 660,000.00
Ioheksol kontras media Injeksi 300 mgI/50
284 Botol 215,050.00
ml (Omnipaque)
Iohexol kontras media injeksi 300mg/ml
285 Vial 77,000.00
@20 ml
Iohexol kontras media injeksi 350mg/ml
286 Vial 147,767.00
@50 ml
287 Iopamidol 300 mg/mL (Scanlux 50 ml) Vial 50 ml 187,000.00
Iopamidol kontras media injeksi 300/30 ml
288 Btl/30 ml 170,572.00
(Omnipaque)
289 Ipratropium Br Inhalation sol (Atrovent) Botol /20 ml 21,000.00
292 Isofluran inhalasi (Terrell) Botol 100 ml 294,795.00
293 Isoksuprina HCl injeksi 5 mg/ml (Proterin) Ampul 12,191.67
294 Isoksuprina HCl tablet 20 mg (Proterine) Tablet 2,598.75
295 Isoniazid tablet 100 mg Tablet 72.00
296 Isoniazid tablet 300 mg Btl 1000 tablet Tablet 164.00
297 Isosorbid dinitrat tablet 10 mg Tablet 198.00
298 Isosorbid dinitrat tablet sublingual 5 mg Tablet 89.00
299 Itrakonazol kapsul 100 mg Kapsul 3,960.00
300 K L-Aspartate tablet 300 mg (Kalipar) Tablet 690.00
303 Kalium klorida (KCl) injeksi 7,46 % Ampul 3,223.00
Kalium klorida tablet lepas lambat 600 mg
304 Tablet 1,755.00
(KSR)
305 Kalsitriol kapsul lunak 0,25 mcg (Ostovel) Tablet 1,650.00
306 Kalsium asetat tablet 160 mg (Lenal ace) Tablet 855.80
307 Kalsium glukonat injeksi 10 % Ampul 10,351.00
308 Kalsium hidroksida pasta (Dorident) Buah 330,000.00
309 Kalsium karbonat serbuk Gram 65.00
310 Kalsium karbonat tablet 500 mg (Calporosis) Tablet 405.00
311 Kalsium laktat (Kalk) tablet 500 mg Tablet 59.00

Kalsium polistirena sulfonat serbuk 5 g
312 Sachet 4,999.00
(Kalitake)
313 Kandesartan sileksetil tablet 16 mg Tablet 898.00
314 Kandesartan tablet 8 mg Tablet 519.00
Kapsul lepas lambat mengandung
315 Pseudoefedrin HCl dan Loratadin (Rhinos Tablet 4,441.25
SR)
Kapsul lunak mengandung : Asam Folat 1

mg, Beta Karoten 10.000 IU, Vit B1 3 mg,
Vit B2 3,4 mg, Nicotinamide 20 mg, Vit B6 2
mg, Kalsium Karbonat 100 mg, Vit B12 4
316 mcg, Vit D3 400 IU, Vit K1 50 mcg, Biotin 30 Tablet 3,234.00
mcg, Copper Glukonat 0,1 mg, Iron
Polymaltosa (IPC) 30 mg, DHA (asam
Dokaheksanoat dari algae) 40 mg, ARA
(Asam Arachidonat) 8 mg (Folamil Genio)
Kapsul mengandung Besi 24 mg, Seng 12

317 mg, Tembaga 2 mg, Asam Folat 500 mg, Vit Tablet 4,075.50
B12 10 mcg dan B6 5 mg (Feroglobin)
Kapsul mengandung
Echinaceae purpurea ekstrak 250 mg,
318 Kapsul 4,422.00
Black elderberry ekstrak 50 mg, Phyllanthus
niruri ekstrak 50 mg (Protemun)
Kapsul mengandung Sericocalyx Folium

21,4 %, Orthosiphonis Herba 21,4 %,
319 Kapsul 6,006.00
Sonchus Folium 17,85 %, Plantago Folium
7,15 % (Renax)
320 Kaptopril tablet 12,5 mg Tablet 62.00

321 Kaptopril tablet 25 mg Tablet 75.44
322 Karbakol (Miochol) Box 54,340.00
323 Karbamazepin tablet 200 mg Tablet 230.00
324 Karbazokrom injeksi 10 ml Ampul 9,178.40
Karbazokrom natrium tablet 10 mg (Adona
325 Tablet 2,217.60
AC-17)
326 Karbogliserin tetes telinga 10% Botol 2,590.00
327 Karvediol tablet 6,25 mg (V-bloc / Dibloc) Tablet 1,560.00
Kasa steril yang diresapi framicetin sulfat
328 Lembar 10,175.00
1% berbasis lanolin parafin (Daryantulle)
329 Lembar 14,033.00
330 Ketamin injeksi 50 mg/ml Vial 59,950.00
331 Ketokonazol krim 2% Tube 2,518.00
Ketokonazol scalp sol 2% (Zoloral
332 Botol 80 ml 24,200.00
SS/Interzol SS)
333 Ketokonazol tablet 200 mg Tablet 270.00
334 Ketoprofen suppositoria 100 mg Supp 2,380.00
335 Ketoprofen tablet 100 mg Tablet 1,333.20
336 Ketorolak injeksi 30 mg/ml Ampul 1,045.00
337 Klaritromisin tablet 500 mg (Orixal) Tablet 3,900.60
340 Klobazam tablet 10 mg Tablet 739.00
341 Klonazepam tablet 2 mg (Riklona) Tablet 4,940.00
342 Klonidin injeksi 0,15 mg/ml (Catapres) Ampul 33,900.00
343 Klonidin tablet 0,15 mg Tablet 175.00
344 Klopidogrel tablet 75 mg Tablet 1,318.00
345 Kloramfenikol injeksi 1 gram (Colsancetine) Vial 10,428.00
346 Kloramfenikol kapsul 250 mg Kapsul 209.00

347 Kloramfenikol salep kulit 2 % Tube 3,091.00
348 Kloramfenikol salep mata 1 % Tube 1,881.00
349 Kloramfenikol suspensi 125 mg/5 ml Botol 3,955.00
350 Kloramfenikol tetes mata 0,5% (C. Fenicol) Botol 30,992.96
351 Kloramfenikol tetes telinga 3% Botol 1,599.40

352 Klorfeniramin maleat (CTM) tablet 4 mg Tablet 22.00
353 Klorfenol Kamfer Mentol (CHKM) Botol 77,000.00
354 Klorheksidin 0,2% (Perio Kin Spray) 40 ml Botol 124,355.00
355 Klorin 5,25 % ml 11.00

356 Kloroquin tablet 250 mg Tablet 107.00
357 Klorpromazin injeksi i.m 25 mg/ml Ampul 1,240.00
358 Klorpromazin tablet salut 100 mg Tablet 147.00
361 Kodein tablet 10 mg Tablet 571.00
362 Kodein tablet 20 mg Tablet 1,299.00
363 Koenzim Q 10 60 mg (Q ten) Kapsul 7,607.60
364 Kolkisin Tablet 0,5 mg Tablet 2,299.00
Kotrimoksazol DOEN I (dewasa) kombinasi
365 sulfametoksazol 400 mg dan trimetoprim 80 Tablet 125.00
mg
Kotrimoksazol suspensi kombinasi

366 sulfametoksazol 200 mg dan trimetoprim 40 botol 60 ml 2,052.00
mg/ 5 ml
367 Kresol tersaponifikasi 50 % Liter 9,598.00
Krim mengandung Asam Hialuronat 2%,
368 Tube/100 gram 122,760.00
Perak sulvadiazin 1% (Ialuset)
Krim mengandung Betametason valerat 0,1
369 Tube 5 gr 11,330.00
% dan Neomisin sulfat 0,5 %
370 Kuinin (Kina) tablet 200 mg Tablet 670.00
371 Kurkuma tablet Salut Gula Tablet 404.64
372 L- Ornithine L-Aspartate injeksi 500 mg Ampul 59,400.00
373 Laktosa Gram 210.00
374 Laktulosa 3,335 gram sirup (Opilax) 120 ml Botol 120 ml 39,600.00
375 Laktulosa 3,335 gram sirup 60 ml Botol 60 ml 15,060.00

376 Lamivudin Tablet 150 mg Tablet 1,560.00
377 Lansoprazol injeksi 30 mg/ml Vial 92,040.00
378 Lansoprazol kapsul 30 mg Tablet 303.00
Larutan dialisis peritonel 2.5 % dan minicap
379 Softbag/2 Liter 41,929.00
(Dianeal)
Larutan hipertonic nasal spray (Sterimar
380 Botol 123,117.50
hypertonic)
Larutan hipertonic nasal spray bayi
381 Botol 120,065.00
(Sterimar Baby)
Larutan infus 500 ml mengandung Na 50
Plastic Bottle
382 mEq/L, K 20 mEq/L cl 50 mEq/L Lactate 20 10,696.00
500 ml
mEq/L Glukose 27 g/L (KA EN 3 B)
Larutan isotonik nasal spray 100 ml

383 Botol 100 ml 86,625.00
(Nasalin)
Larutan isotonis NaCl 0,9 % Nasal Spray
384 Botol 58,960.00
(BNS)
Larutan mengandung Asam Amino (Asam
385 Botol 500 ml 56,300.00
Amino 10%) (Kalbamin)

386 Amino 6%, mengandung Taurine 0,24 gr/l) Botol 100 ml 44,990.00
(Aminosteril Infant 6%)

Amino 72.05 g, Total N 11.53 g, AAE/AANE
387 Softbag 200 ml 50,697.00
ratio 2.6, Nadan 2 mEq, Asetat 46 mEq)
(Kidmin)

388 Amino 79.9 g, Total N 12.2 g, Nadan 14 Softbag 500 ml 67,590.00
mEq, Cl 94 mEq)(Aminoleban)

389 Botol 500 ml 78,720.00
amino 8%) (Aminosteril N-Hepa)
Larutan mengandung Asam Amino

(Kombinasi Asam aminno 50 g/L, Sorbitol 50
g/L, Xylitol 50 g/L, Asam Askorbat (Vit C) 0.4
390 g/L, Inositol 0.5 g/L, Nikotinamida Botol 500 ml 42,000.00
(Niasinamida) 0.06 g/L, Piridoksin HCl (Vit
B6) 0.04 g/L, Riboflavin Natrium Fosfat 2.5
mg/L, elektrolit) (Aminofusin L600)

391 (Kombinasi Asam amino 50 g/L, vitamin dan Botol 250 mL 54,080.00
elektrolit) (Aminofusin Paed)

(Kombinasi Asam Amino: 34gr, Glukosa:
392 Soft Bag 319,990.00
97gr, Lipid: 51gr dan Elektrolit (Kalori = 1000
kkal, Akses peripheral)) Kabiven
Larutan mengandung Asam Amino 500 ml

393 Bag 67,590.00
(Aminofluid)
Larutan mengandung Elektrolit (Na 130

Plastic Bottle
394 mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28 9,275.00
500 ml
mEq) (Asering)
Larutan mengandung Elektrolit (NaCl 1.125 Plastic Bottle

395 9,000.00
gr, Dekstrosa 18.75 gr) (KA EN 1B) 500 ml
Larutan mengandung Karbohidrat (Fructose

396 120 g, glucose 66 g, Xylitol 60 g/ L dan Botol 500 mL 50,500.00
elektrolit) (Triofusin 1000)
Larutan mengandung Karbohidrat (Fructose

397 60 g, glucose 33 g, Xylitol 30 g/ L) (Triofusin Botol 500 mL 42,350.00
500)
Larutan mengandung Karbohidrat dan Plastic Bottle

398 9,350.00
Elektrolit (D5-1/4NS) 500 ml
Larutan mengandung Karbohidrat dan

Plastic Bottle
399 Elektrolit (Glukosa: 25,0 g; NaCl: 4,5 g) 6,917.00
500 ml
(WIDA 2A)
Larutan mengandung Klorheksidin glukonat
400 ml 182.00
1,5 % dan cetrimid 15 % (First aid)
Larutan nutrisi parenteral mengandung:

High content of branched-chain amino acids
401 42% & low content of methionine, Botol 500 ml 152,176.00
phenylalanine & tryptophan Aminofusin
Hepar)
Larutan mengandung NaCL 0,45 % dan gluk

osa
402 Botol 11,435.00
2,5 % dengan KCl 0,15 % atau setara deng
an Kalium 20 mEq/L (KDN-1)
Larutan mengandung NaCl 0,9 %

403 dengan KCl 0,3 % atau setara dengan kaliu Botol 11,011.00
m 40 mEq/L (KN-2)
404 Latanoprost tetes mata 0,005 % (Xalatan) MD 0.6 ml 120,650.00
405 Ledermix Pasta 5 gram Tube 762,300.00
406 Levofloksasin infus 5 mg/ml Botol 17,999.00
407 Levofloksasin tablet 500 mg Tablet 424.00
408 Levofloksasin tetes mata 5 mg (Optiflox) Botol 15,499.00
409 Levotiroksin tablet 100 mcg (Euthyrox) Tablet 1,021.00
410 Lidokain injeksi 2% (HCL) Ampul 1,144.00
411 Lidokain Jel 2% (Xylocain) Buah 41,600.00
412 Lidokain semprot 10 % Botol 177,216.00
413 Linkomisin kapsul 500 mg Kapsul 1,250.10
414 Lisinopril tablet 10 mg Tablet 259.00
415 Litium karbonat tablet 200 mg (Frimania) Tablet 949.00
416 Litium karbonat tablet 400 mg (Frimania) Tablet 1,739.00
417 Loperamid tablet 2 mg Tablet 85.00
418 Loratadin tablet 10 mg Tablet 123.00
421 Losartan tablet 50 mg Tablet 4,378.00
Lovinapir 200 mg / Ritonavir 50 mg Tablet
422 Tablet 7,414.00
(Aluvia)
Low molecule feri sucrose injeksi 100 mg/5
423 Ampul 28,500.00
mL (Dialifer)
424 Lumbrokinas tablet 490 mg (Disolf) Tablet 7,150.00
Magnesium sulfat (MgSO4) injeksi (IV) 40
425 Botol 3,796.00
%-25 ml
428 Maprotiline HCl tablet 50 mg (Sandepril) Tablet 2,428.00
429 Mebendazol tablet 500 mg (Vermox) Tablet 8,800.00
430 Mekobalamin injeksi 500 mcg Ampul 6,160.00
431 Mekobalamin tablet 500 mcg Kapsul 539.00
432 Meloksikam tablet 15 mg Tablet 419.00
435 Mesalazin tablet 250 mg (Salofalk) Tablet 3,575.00
Metamizol natrium 500 mg/ml injeksi
436 Ampul 3,500.00
(Novalgin)
437 Metampiron tablet 500 mg Tablet 394.90
438 Metformin HCl Kapsul 500 mg Tablet 96.00
439 Metformin HCl Kapsul 850 mg Kapsul 150.00
440 Metil penidat tablet 10 mg (Prohiper) Tablet 1,162.00
441 Metildopa tablet 250 mg (Dopamet) Tablet 946.00
442 Metilergometrin maleat injeksi 0,200 mg/ ml Ampul 2,959.00
443 Metilergometrin tablet 0,125 mg Tablet 210.00

444 Metilprednisolon injeksi 125 mg/2 mL Vial 10,800.00
445 Metilprednisolon injeksi 500 mg Ampul 67,560.00
449 Metisoprinol tablet 500 mg Tablet 3,135.00
450 Metoklopramid injeksi 5 mg/ ml Ampul 3,960.00
453 Metronidazol larutan infus 500 mg Vial 8,110.00
454 Metronidazol sirup 125mg/5 ml Botol 3,950.00
455 Metronidazol supositoria 500 mg (Flagyl)
dus, 2 blister@5 suppositoria 3,220.00
456 Metronidazol tablet 500 mg Tablet 124.00
457 Midazolam injeksi i.v. 1 mg/ml (Fortanest) Ampul 4,125.00
458 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gr 3,414.00
459 Misoprostol tablet 200 mg (Cytostol) Tablet 4,125.00
Modified fluid gelatine BM 30000 larutan
460 Botol 45,980.00
infus 4 % (Gelofusin / Gelafusal)
Moksifloksasin larutan infus 400 mg/250ml
461 Botol 187,000.00
(Mocin / Avelox)
462 Moksifloksasin tetes mata 0,5 % (Vigamox) Botol 81,000.00
463 Mometason furoat krim 0,1% Tube 10 gr 11,000.00

Mometasone furoate monohydrate semprot
464 Botol -
hidung 50 mcg/dosis (Nasonex)
465 Montelukast tablet 10 mg (Rymont) Tablet 4,790.50
466 Morfin injeksi 10mg/ml Ampul 34,049.95
467 MST Continus tablet 10 mg Tablet 15,620.00
468 Mummifying pasta, iodoform pasta 10 gr Botol 182,325.00
469 Nafazolin HCl tetes mata 1 mg (C. Vasacon) Botol 15 ml 15,262.50
470 Nalokson injeksi 0,4 mg/ ml (Nokoba) Ampul 72,600.00

471 Natamisin tetes mata 50 mg (C. Natacen) MD 0,6 ml 45,782.00
472 Natamisin tetes mata 50 mg/ml (Fukricin) Botol 42,306.00
473 Natrium bikarbonat injeksi i.v 8,4 % (Meylon) Ampul 25 ml 6,448.00
474 Natrium bikarbonat tablet 500 mg Tablet 99.00

475 Natrium diklofenak tablet 25 mg Kapsul 145.00
476 Natrium diklofenak tablet 50 mg Tablet 115.00
Natrium Diklofenak tetes mata 1 mg (C. Non
477 MD 0,6 ml 45,917.30
cort)
Natrium Diklofenak tetes mata 1 mg (Flamar
478 Botol 5 ml 25,597.00
ED)
Natrium fusidat salep 20 mg/g
479 Tube 5 gr 35,035.00
(Fucilex/Fuladic)
480 Natrium klorida larutan infus 0,9 % Botol 500 ml 6,410.00
481 Natrium klorida larutan infus 0,9 % 100 ml Botol/100 ml 11,896.50
482 Natrium klorida larutan infus 3 % Botol 500 ml 25,047.00
Natrium Kromoglikat tetes mata 20 mg (C.
483 Botol 15 ml 15,540.80
Conver)
Natrium pikosulfat larutan 7,5 mg/ml
484 Botol 10 ml 79,398.00
(Laxoberon)
485 Nebivolol tablet 5 mg (Nebilet) Tablet 4,620.00
Nebulizer Per 2,5 ml mengandung
486 Ipratropium Br 0,5 mg, Salbutamol sulfat 2,5 Respul 4,550.00
mg (Combivent UDV)
487 Neostigmin metilsulfat injeksi 0,5mg/ml Ampul 7,271.00
488 Nevirapin Tablet 200 mg Tablet 2,940.00
489 Nifedipin tablet 10 mg Tablet 116.10
490 Nifedipin tablet 30 mg (Adalat oros) Tablet 3,700.00
491 Nikardipin injeksi 10 mg Ampul 23,649.00
492 Nistatin drop 100.000 IU (Nimyco) Botol 12 ml 13,500.00
493 Nistatin tablet salut 500.000 IU/ g Tablet 640.00
494 Nistatin vaginal tablet salut 100.000 IU/ g Tablet Vagina 407.00
495 Nitrogliserin injeksi 1 mg/ml (NTG) Ampul 10 ml 50,050.00
496 Nomegestrol Asetat tablet 5 mg (Lutenyl) Tablet 7,450.00
497 Norepinephrine bitartate inj 1 mg/ml Ampul 25,839.00
498 Noretisteron tablet 5 mg (Nosthyra) Tablet 1,820.00
499 Obat Anti Tuberkolosis Anak Paket 214,985.00
500 Obat Anti Tuberkulosis I Dewasa Paket 389,344.00
501 Obat Anti Tuberkulosis II Dewasa Paket 1,199,985.00
502 Obat Batuk Hitam (OBH) cairan 100 ml Botol/100 ml 2,970.00
503 Ofloksasin Tablet 200 mg Tablet 440.00
504 Ofloksasin tablet 400 mg Tablet 616.00
505 Ofloksasin tetes mata 3 mg (C. floxa) MD 0,6 ml 5,414.20
Ofloksasin tetes telinga 3 % (Tarivid
506 Botol 35,000.00
otic/Akilen)

509 Oksitetrasiklin salep mata 1% Tube 3,5 gr 2,500.00
510 Oksitosin injeksi 10 IU/ ml Ampul 1,199.00
511 Olanzapin injeksi 10 mg/vial (Zyprexa) Vial 130,000.00
512 Olanzapin kaplet salut 10 mg (Onzapin) Tablet 6,996.00
513 Olanzapin tablet 5 mg (Olandoz) Tablet 6,450.00
514 Olopatadin tetes mata 0,1 % (Patanol) Botol 72,500.00
515 Omeprazol injeksi 40 mg Vial 9,898.00
516 Omeprazol kapsul 20 mg Kapsul 130.00
517 Ondansetron injeksi HCl 4mg/2ml Ampul 1,070.00
Ovula mengandung Metronidazol 500 mg
520 Ovula 12,496.00
dan Nistatin 100.00 Unit (vagistin ovula)
521 P.P.D. Test 1.5 ml Vial 772,475.00
522 Pantoprazol injeksi 40 mg Vial -
525 Parasetamol drop 60 mg/0,6 ml Botol 6,649.00
526 Parasetamol larutan infus 100 ml Botol 11,610.00
527 Parasetamol sirup 120 mg/ 5ml Botol 1,107.00
Parasetamol suppositoria 160 mg
528 Supp 6,086.67
(Propyretic)
529 Parasetamol tablet 500 mg Tablet 53.00
530 Pasta non Arsen /Depulpin (pulp-X Denpro) Pot 220,000.00
531 Perak sulfadiazin krim 1% (Burnazin) Tube 20,700.00

532 Perindopril arginin tablet 5 mg (Bioprexum) Tablet 2,640.00
533 Permetrin krim 5% 10 g (Scabimite) Tube 11,825.00
534 Petidin injeksi 50 mg / ml Ampul 14,500.00
Pilocarpin (HCL/Nitrat) tetes mata 2 % (C.
535 Botol 5 ml 20,649.20
carpin)
536 Pioglitazon tablet 15 mg (Deculin) Tablet 3,260.40
537 Pioglitazon tablet 30 mg Tablet 3,575.00
Pirantel pamoat suspensi 125 mg 10 ml
538 Botol 10 ml 9,700.00
(Convermex)
539 Pirantel Pamoat tablet score (base) 125 mg Tablet 289.00
540 Pirasetam injeksi 3 gr/ 15 ml Ampul 3,800.00
544 Pirazinamid tablet 500 mg Tablet 222.00
545 Piridoksin (vitamin B6) tablet 10 mg Tablet 123.00
546 Piridostigmin tablet 60 mg (Mestinon) Tablet 7,513.00
547 Pirimetamin tablet 25 mg Tablet 1,315.00
548 Polikresulen cairan (Albothyl) Botol 10 ml 27,500.00
550 Povidon iodida larutan 10 % 30 ml Botol 2,163.00
553 Povidon iodida obat kumur Botol 175 ml 10,395.00
554 Povidon iodida tetes mata 2% (Solujod) MD 0,6 ml 24,200.00
Powder mengandung Neomisin dan
555 Tube 20,350.00
Basitrasin (Nebacetin)
556 Pramipeksol tablet ER 0,375 mg (Sifrol ER) Tablet 8,300.00
Prednisolon asetat micronized tetes mata 10

557 MD 0,6 ml 7,741.80
mg (C. P-Pred)
558 Prednisolon tablet 5 mg (Lupred) Tablet 2,173.60
559 Prednison tablet 5 mg Tablet 68.00
560 Probenesid tablet 500 mg (Probenid) Tablet 1,780.00
561 Prokain Benzil Penisilin injeksi 3 jt IU Vial 12,385.49
Prokaterol cairan inhalasi 30 mcg (Meptin
562 Respul 6,000.00
swinghaler)
Prokaterol cairan inhalasi 50 mcg (Meptin
563 Respul 6,000.00
swinghaler)
Prokaterol serbuk inhaler 10 mcg (Meptin
564 Can 82,000.00
swinghaler)
565 Propiltiourasil tablet 100 mg (PTU) Tablet 431.64
Propofol injeksi 10 mg/ ml Ampul 20 ml
566 Ampul 10,758.00
(Fresofol)
567 Propranolol tablet 10 mg (HCl) Tablet 54.00
Pseudoefedrin HCl drop 7,5 mg/0,8 ml
568 Drop 40,205.00
(Rhinos neo drop)
569 Psidium guajava sirup 250 mg/ml (Psidii) Botol 60 ml 30,855.00
570 Quetiapin tablet 200 mg (Seroquel XR) Tablet 14,300.00
571 Quetiapin tablet 400 mg (Seroquel XR) Tablet 18,616.00
572 Ramipril tablet 10 mg Tablet 660.00
573 Ramipril tablet 5 mg Tablet 330.00
574 Ranibizumab injeksi 10mg/ml (Lucentis) Vial 4,220,067.17
575 Ranitidin injeksi 25 mg/ 2 ml Ampul 1,155.00
576 Ranitidin sirup 75 mg/ 5 ml (Ranicho) Botol 60 ml 33,825.00
577 Ranitidin tablet 150 mg Tablet 105.00
578 Rebamipid tablet 100 mg (Mucosta) Tablet 4,149.00
579 Resin composit antherior Set -
580 Resin Composite A2 Buah 471,900.00
581 Resin Composite A3 Buah 471,900.00
582 Resin Composite A3,5 Buah 374,000.00
583 Retinol (Vitamin A) Soft Gell 100.000 IU Kapsul 288.00
584 Retinol (Vitamin A) Soft Gell 200.000 IU Kapsul 517.00
585 Rifampisin kapsul 300 mg Tablet 725.00
586 Rifampisin tablet 450 mg Tablet 868.00
587 Rifampisin tablet 600 mg Tablet 1,108.00
588 Ringer laktat larutan infus Botol 500 ml 7,150.00
589 Risperidon tablet 2 mg Tablet 273.00
590 Rivaroksaban tab salut 10 mg (Xarelto) Tablet 24,100.00
Ropinirol tablet lepas lambat 2 mg (Requip
591 Tablet 5,920.00
PD)
592 Rupatadin tablet 10 mg (Rupavin) Tablet 6,520.80
Salbutamol inhalasi/aerosol 100 mcg/dosis
593 Can 63,750.00
(Ventolin inhaler)
594 Salbutamol sirup 2 mg/ 5 ml Botol 4,446.00
Salbutamol sulfat nebulizer respul 2,5 mg
595 Respul 4,000.00
(Ventolin nebules)
596 Salbutamol tablet 2 mg (sebagai sulfat) Tablet 63.00
597 Salbutamol tablet 4 mg (sebagai sulfat) Tablet 70.00
Salep 2-4 kombinasi Asam salisilat 2% dan
598 pot 2,000.00
Belerang endap 4%
Salep mata mengandung Dexamethason

599 0,1% dan Neomisin 3.5 mg dan Polimiksin Tube 36,306.00
BSO4 10000 IU (C. Xitrol)
Salep mata mengandung Polimiksin B Sulfat

600 5 mg dan Gramicidin 0,0025 mg (C. Tube 3,5 gr 18,722.00
Polygran)
601 Sefadroksil kapsul 250 mg Kapsul 513.00
602 Sefadroksil kapsul 500 mg Tablet 520.04
603 Sefadroksil sirup kering 125 mg/5ml Botol 60 ml 3,922.00
604 Sefadroksil sirup kering 250 mg/5 mL Botol 60 ml 5,200.00
605 Sefaleksin kapsul 500 mg Kapsul 1,000.00
606 Sefazolin serbuk injeksi 1000 mg Vial 17,000.00
607 Sefdinir kapsul 100 mg (Nircef) Kapsul 11,440.00
608 Sefepim injeksi 1000 mg Vial 34,000.00
609 Sefiksim kapsul 100 mg Tablet 700.13
610 Sefiksim sirup 100 mg/5 ml Botol 30 ml 5,530.00
611 Sefiksim tablet 200 mg Tablet 2,370.00
612 Sefoperazon injeksi 1000 mg Vial 38,500.00
613 Sefotaksim serbuk injeksi 1000 mg Vial 4,200.00
Sefpodoksim proksetil tablet 100 mg
614 Tablet 4,250.00
(Banadoz)
615 Seftazidim injeksi 1000 mg Vial 10,000.00
616 Seftriakson injeksi 1000 mg Vial 4,483.00
617 Sefuroksim serbuk injeksi 750 mg (Oxtercid) Vial 29,975.00
618 Sefuroksim tablet 500 mg (Zinnat) Tablet 7,200.00

Semen seng fosfat serbuk dan cairan
619 Botol 149,160.00
(Dorident)
Serbuk mengandung Lactobacillus

620 Helveticus Rosell-52 dan Lactobacillus Sachet 5,280.00
Rhamnosus Rosell-11 (Lacidofil)
Serbuk mengandung Rice starch,

maltodextrin, Lactobacillus acidophilus,
Lactobacillus casei, Bifidobacterium infantis,
621 Sachet 5,610.00
Lactobacillus salivarius, Bifidobacterium
lactis, Bifidobacterium longum, Lactobacillus
lactis (L-Bio)
622 Sertralin tablet 50 mg (Fatral) Tablet 1,595.00

623 Setirizin sirup 5 mg/5 ml Botol 2,850.00
624 Setirizin tablet 10 mg Tablet 90.00
625 Sevofluran inhalasi (Sojourn) Botol 994,892.00
Sianokobalamin (vitamin B12) injeksi 500
626 Ampul 1,078.00
mcg
Sianokobalamin (vitamin B12) tablet 500
627 Tablet 46.00
mcg
Siklosporin kapsul lunak 100 mg
628 Kapsul 43,000.00
(Sandimmun neoral)
Siklosporin kapsul lunak 25 mg (Sandimmun
629 Kapsul 12,000.00
neoral)
630 Silostazol tablet 100 mg Tablet 5,497.00
631 Silver amalgam kapsul Kapsul 260,000.00
632 Simvastatin tablet 10 mg Tablet 110.00
633 Simvastatin tablet 20 mg Tablet 205.00
634 Sinnarizin tablet 25 mg (Stugeron) Tablet 2,732.40
635 Siprofloksasin larutan infus 200 mg/100 ml Botol 200 ml 9,699.00
636 Siprofloksasin tablet scored 500 mg Tablet 302.00
Sirup mengandung Amoksisilin 125 mg dan
637 K Klavulanat 31,25 mg (Co-Amoxiclav / Botol/60 ml 31,664.00
Clanexy)
Sirup mengandung Amoksisilin 250 mg dan

638 K Klavulanat 62,5 mg (Co-Amoxiclav / Botol/60 ml 44,220.00
Clanexy)
Sirup mengandung Hepatoprotektor anak Vit

B1 3 mg,Vit B2 2 mg, Vit B6 5 mg, Vit B12 5
639 mcg, beta caroten 4 mg, dexpanthenol 3 Botol 60 ml 21,800.63
mg, curucuminoid 2mg, Ca Glukonat 300
mg (Curvit sirup)
Sirup mengandung : 114 mg Sodium

640 Feredetate setara dengan 15 mg besi eleme Botol 100 ml 24,750.00
n (Ferriz Syrup)
Sirup per 5 ml mengandung Pseudoefedrin

641 HCl 15 mg dan Klorfeniramin maleat 1 mg Botol 28,050.00
(Rhinos junior)
Sirup per 5 ml mengandung Triprolidine HCl

642 1.25 mg dan Pseudoephedrine HCl 30 mg Botol 60 ml 18,700.00
(Lapifed / Trifed)
643 Sitikolin injeksi 250 mg/2 ml Ampul 5,652.00
644 Sitikolin Serbuk 1000 mg (Brainact) Sachet 16,500.00
645 Sitikolin tablet 500 mg Tablet 3,740.00
Sodium Hialuronat injeksi 20 mg/ml
646 Ampul 190,190.00
(Umaron)
Sodium Hialuronat injeksi 25 mg/ 2,5 ml
647 Prefilled Syringe 311,850.00
(Osflex)
648 Sodium Hypochloride 3% (Hyposol Denpro) Botol 78,100.00
649 Solifenasin tablet 5 mg (Vesicare) Tablet 18,645.00

650 Spiramisin tablet 500 mg Tablet 1,499.00
651 Spironolakton tablet 100 mg Tablet 539.00
652 Spironolakton tablet 25 mg Tablet 195.00
653 Streptokinase serb inj 1,5 juta IU (Fibrion) Vial 3,400,000.00
654 Streptomisin Serbuk Injeksi IV 1000 mg/ml Vial 5,200.00
Stronger Neo- Minophagen C (SNMC)
655 Ampul 98,753.00
injeksi
656 Sukralfat suspensi 500 mg / 5 ml Botol 6,789.00
657 Sukralfat tablet 500 mg Tablet 368.00
658 Sulfasalazin tablet 500 mg Tablet 2,640.00
Suspensi mengandung Parafin dan gliserin
659 Botol 60 ml 5,192.00
dan fenolftalein (Laxadine emulsi)
Suspensi mengandung Parafin dan gliserin
660 Botol 30 ml 7,700.00
dan fenolftalein (Laxadine emulsi) 30 ml
Tablet mengandung Alpha-keto isoleucine

67 mg, alpha-keto leucine 101 mg, alpha-
keto phenylalanine 68 mg, alpha-hydroxy
661 methionine 59 mg, alpha-keto valine 86 mg, Tablet 7,058.70
L-tryptophan 23 mg, L-threonine 53 mg. L-
histidine 38 mg, l-tyrosine 30 mg, L-lysine
acetate 105 mg, Ca 50 mg (Aminefron)
Tablet mengandung Amoksisilin 500 mg dan

662 Tablet 3,907.87
K Klavulanat 125 mg (Clanexy)
Tablet mengandung Besi (II) sulfat 7H2O
663 Tablet 42.00
200 mg asam folat 0,25 mg
Tablet mengandung DL-3-methyl-2-oxo-

valeric acid 67 mg, 4-methyl-2-oxo-valeric
acid 101 mg, 2-oxo-3-phenyl-propionic acid
68 mg, 3-methyl-2-oxo-butyric acid 86 mg,
664 Tablet 4,620.00
DL-2-hydroxy-4-methylthio-butyric acid 59
mg, L-lysine monoacetate 105 mg, L-
threonine 53 mg, L-tryptophan 23 mg, L-
histidine 38 mg, L-tyrosine 30 mg (Prorenal)
Tablet mengandung Fexofenadin HCl 120

665 mg dan Pseudoefedrin HCl 60 mg (Telfast Tablet 5,109.50
plus)
Tablet mengandung Hepatoprotektor

Ekstrak Curcuma longa rhizome 150 mg,
Silymarin phytosome 35 mg, Ekstrak
666 Tablet 6,077.50
Schizandrae Fructus 135 mg, Liquiritae
Radix 135 mg, Choline Bitartrate 150 mg, Vit
B6 2 mg (Biocurliv)
Tablet mengandung Kalsium 300 mg,
667 Magnesium 150 mg, Vitamin D3 2,5 mcg, Tablet 3,960.00
dan Zink 5 mg (Osteocare)
Tablet mengandung Parasetamol 325 mg

668 Tablet 7,828.70
dan Tramadol 37,5 mg (Ultracet)
Tablet mengandung Parasetamol 500 mg
669 Tablet 1,402.50
dan n-asetil sistein 200 mg (Sistenol)
Tablet mengandung Parasetamol 500 mg,

phenylephrine HCl 10 mg,
670 Tablet 688.00
dexchlorpheniramine maleat 2 mg, DMP HBr
15 mg, Gliseril Guiakolat 50 mg (Intunal F)
Tablet mengandung Pure lecithin (PPC

95%) 175 mg (300 mg), vit B1 6 mg, vit B2 6
671 Tablet 7,150.00
mg, vit B6 6 mg, vit B12 6 mcg, vit E 10 mg,
nicotinamide 30 mg (Lesichol)
Tablet mengandung Rifampisin 75 mg,

672 Isoniazid 50 mg dan Pirazinamid 150 mg Tablet 3,168.00
(Rimcure paed)
Tablet mengandung Setirizin diHCL 5 mg

673 dan Pseudoefedrin HCl 120 mg (Ryvell Tablet 2,579.50
Plus)
Tablet mengandung Tenovofir 300 mg +

674 Tablet 10,115.00
Emtricitabine 200 mg Tablet
Tablet mengandung Tenovofir 300 mg +

675 Tablet 3,276.00
Lamivudin 300 mg + Efavirenz 600 mg tablet
Tablet mengandung Vit B1 100 mg, Vit B6

676 50 mg, Vit B12 100 mcg, Vit E 30 IU Tablet 938.44
(Fundamin E)
Tablet mengandung Vitamin B1 100 mg,

677 Vitamin B6 100 mg, Vitamin B12 5000 mcg Tablet 477.95
(Neurodex)
Tablet mengandung Zidovudin 300 mg +

678 Tablet 3,058.00
Lamivudin 150 mg tablet
Tablet mengandung Zidovudine 60 mg +

679 Lamivudin 30 mg + Nevirapine 50 mg tablet Tablet 670.00
(FDC Junior)
Tablet salut enterik mengandung asam

680 amino, kalsium 500 mg, dan total nitrogen Tablet 6,435.00
36 mg (Renoguard)
Tablet salut mengandung L-carnitine tartrat,

L-cystine, Selenium, Zinc, Magnesium, Iron,
Manganese, Copper, Iodine, Chromium, Vit
681 Tablet 7,868.30
A, Vit D3, Vitamin C, Vit E, Vit D3, Vit C, Vit
B6, Cal. Pantothenate, Vit B1, Vit B2, Folic
Acid, Vit B12, Vit K (Immunace)
682 Tablet tambah darah Tablet 353.00
Tablet tambah darah mengandung Fe

fumarate 360 mg, folic acid 1.5 mg, vitamin
683 Tablet 1,086.80
C 75 mg, vitamin D3 400 IU, Ca carbonate
200 mg (Prenamia)
Tamsulosin tab lepas lambat 0,4 mg (Harnal
684 Tablet 4,799.00
OCAS)
685 Tamsulosin tablet HCl 0,2 mg (Harnal) Tablet 7,300.00
686 Telmisartan tablet 40 mg (Micardis) Tablet 3,045.00
687 Telmisartan tablet 80 mg (Micardis) Tablet 5,409.00
688 Temporary fletcher Box 27,500.00
Temporary Stopping Fletcher serbuk dan
689 Botol 36,575.00
cairan
690 Tenovofir (TDF) tablet 300 mg Tablet 8,424.00
691 Teofilin serbuk Gram 421.00
692 Teofilin tablet (Bronsolvan) Tablet 270.00
693 Terazosin tablet 2 mg (Hytroz) Tablet 938.00
Terbutalin cairan inhalasi 2,5 mg/mL
694 Respule 6,250.00
(Bricasma respul)
695 Terbutalin sulfat tablet 2,5 mg Tablet 89.00
696 Terbutaline sulfat injeksi (Nairet/Bricasma) Ampul 11,960.00
Tetes mata kombinasi Dexamethason 0.1%
697 dan Neomisin 3.5 mg dan Polimiksin BSO4 MD 0,6 ml 4,933.60
6000 UI (C. Xitrol TM)
Tetes mata mengandung Fenilefrin HCL 10

698 Botol 5 ml 15,433.00
% (Efricel ED)
Tetes mata mengandung

hydroxiphropylmethylcellulose 5 mg,
699 Botol 5 ml 21,252.00
Oxymetazoline HCL 0.25 mg, Vitamin A
Palmitat 1000 IU (Asthenof TM)
Tetes mata mengandung Mono-P (PEG 603)

700 2.5 mg, PEG 600 5 mg, Dimetil Polysiloksan Botol 5 ml 53,383.00
1 ml, Na Hylorunate (C. Siloxan botol)
Tetes mata mengandung Mono-P (PEG 603)

701 2.5 mg, PEG 600 5 mg, Dimetil Polysiloksan MD 0,6 ml 11,593.56
1 ml, Na Hylorunate (C. Siloxan MD)
Tetes mata mengandung Nafazolin HCL

702 0.25 mg, Pheniramine Maleat 3 mg (C. MD 0,6 ml 4,510.22
Vernacel)
Tetes mata mengandung Zinc Sulphate 0.2

703 mg, Phenyleprine HCL 1 mg, Vit A Palmitat Botol 5 ml 20,064.00
1000 IU (C. Augentonic botol)
Tetes mata mengandung Zinc Sulphate 0.2

704 mg, Phenyleprine HCL 1 mg, Vit A Palmitat MD 0.6 ml 5,969.80
1000 IU (C. Augentonic MD)
Tetes mata mengandung: D-Deoksi 5-

705 Botol 5 ml 15,307.00
Iodosuridine 1 mg (C. Cendrid)
Tetes mata tiap ml mengandung : Nafazolin

706 MD 0,6 ml 2,985.40
Hcl 1 mg, Antazolin 2,5 mg (C. Vasacon A)
Tetes mata tiap ml mengandung CaCl2

707 anhidrat 5 mg, Kalium Iodida 5 mg, Na Botol 5 ml 22,896.50
Thiosulfat 0,5 mg (C.Catarlent)
Tetes mata tiap ml mengandung

Dexamethason I Sodium Phospat 1 mg
708 MD 0,6 ml 5,363.60
Polymixyn B Sulfat 10000 IU, Neomycin
Sulfat (C. Polydex)
709 Hydroxiprophylmethylcellulose 3 mg, dextra- MD 0,6 ml 4,680.60
70 1 mg (C. Eyefresh)

710 Tablet 4,655.20
Karboksimetilselulosa 5 mg (C. Cenfresh)
Tetes mata tiap ml mengandung NaCl 4,4
711 MD 0,6 ml 3,896.20
mg, KCl 0,8 mg (C. Lyteers Mini Dose)
Tetes mata tiap ml mengandung NaCl 4,4
712 Botol 19,125.00
mg, KCl 0,8 mg (C. Lyteers)
Tetes mata tiap ml mengandung Neomycin
713 MD 0,6 ml 3,618.00
Sulfat 3.5 mg, Flumetholon (C. Polynel)

Polyvinylpirolidone, Vitamin A, Natrium
714 Hyaluronat, Natrium Klorida, Natrium MD 0,6 ml 7,261.20
Hidrogen, Natrium dihidrogen phospat
(C.Protagenta)
Tetes mata tiap ml mengandung Tobramycin

715 Botol 79,200.00
3 mg, dexamethason 1 mg (Tobradex)
Tetes mata tiap ml mengandung: Polymixin

716 B Sulfat 5 mg, Gramicidin 0.025 mg (C. Btl/5 ml 32,005.00
Polygran)
Tetes mata tiap ml mengandung: Sodium

717 iodide 10 mg, potasium iodide 5 mg (C. MD 0,6 ml 5,856.67
Vitrolenta)
Tetes mata tiap ml mengandung: Sodium

718 iodide 10 mg, potasium iodide 5 mg (C. Botol 5 ml 33,143.00
Vitrolenta)
Tetes telinga tiap 5 ml mengandung :

Polymyxin B Sulfate 50.000iu, Neomycin
719 Botol 32,208.00
sulfate 25mg, Fludrocortisone acetate 5 mg,
Lidokain HCl 200 mg (Otopain/Otilon)
Tetra chlorodeca-oxygen anion complex

720 Botol 46,475.00
larutan 0,002% (Oxoferin)
Tetrakain HCl tetes mata 0,5 % (C.
721 Botol 5 ml 12,271.00
Pantocain)
722 Tetrakain HCl tetes mata 2 % (C. Pantocain) Botol 5 ml 13,409.00
723 Tetrasiklin kapsul 500 mg Kapsul 303.00

724 Tiamazol tablet 10 mg (Thyrozol) Tablet 1,225.00
725 Tiamazol tablet 5 mg (Thyrozol) Tablet 630.00
726 Tiamfenikol kapsul 500 mg Tablet 921.10
727 Tiamin (vitamin B1) tablet 50 mg Tablet 85.00
728 Timolol tetes mata 0,25% (Isotic Adretor) Botol 5 ml 10,445.00
729 Timolol tetes mata 0,5 % (Isotic Adretor) Botol 5 ml 11,275.00
730 Tinoridin HCl kapsul (Non flamin) Tablet 4,432.00
Tiotropium serbuk inhalasi 18 mcg dan
731 Box 167,000.00
handihaller (Spiriva 10s + Handihaler)
Tiotropium serbuk inhalasi refill 18 mcg
732 Kapsul 15,100.00
(Spiriva powder for inhalation 18mcg 30s)
733 Tobramisin tetes mata 3 mg (Bralifex) Botol 5 ml 77,000.00
734 Tramadol injeksi 50 mg/ml Ampul 1,764.00
735 Tramadol suppositoria 100 mg (Trunal) Supp 10,725.00
736 Tramadol tablet 50 mg Kapsul 325.60
737 Travoprost tetes mata 0,004 % (Travatan) Botol 83,200.00
Triamsinolon asetonid injeksi 10 mg/ml
738 Vial 34,999.00
(Flamicort)
Triamsinolon asetonid nasal spray 55
739 Botol 106,750.00
mcg/puff (Nasacort)
Triamsinolon asetonid oral orabase 0,1 %
740 Tube 37,785.00
(Ketricin orabase)
741 Triamsinolon tablet 4 mg Tablet 598.00
742 Trifluoperazin tablet 1 mg (Stelazine) Tablet 459.00
743 Trifluoperazin tablet 5 mg Tablet 269.00
744 Triheksipenidil tablet 2 mg Tablet 85.00
745 Trikresol Formalin 10 ml/botol Botol 158,950.00
746 Tropikamid tetes mata 0,5 % (C. Mydriatyl) Botol 5 ml 29,222.00
747 Tropikamid tetes mata 1 % (C. Mydriatyl) Botol 5 ml 38,709.00

748 Trypan Blue Solution 0,06% w/v Vial 49,999.40
749 Ultrasonic gel gallon 5 Liter Liter 26,400.00
Universal restorative system (4 syringe

@4g#A2, A3,B2, dan C3, adper single bond
750 3 L, Kit 1,299,000.00
scotchbond etchant syringe 3 ml, asesoris)
Filtek Z250
751 Urea Krim 10 % (Soft U derm) Tube 6,809.00

752 Vaksin Hepatitis B Uniject 1 ml Vial 52,052.00
Vaksin Jerap Tetanus (Tetanus Adsorbed
753 Vial 14,498.00
Toxoid / TT) injeksi (i.m)
Vaksin Rabies injeksi 0,5 mg/0,5 ml (Verorab
754 Vial 165,000.00
/ Rabipur)
755 Valasiklovir tablet 500 mg (Valvir) Tablet 5,390.00
Valetamat bromida injeksi 8 mg/ ml
756 Ampul 27,060.00
(Epidosin)
Valproat tablet SR 250 mg (Depakote ER
757 Tablet 2,954.00
250)
758 Valsartan tablet 160 mg Tablet 999.00
759 Valsartan tablet 80 mg Tablet 655.00
760 Vekuronium injeksi 10 mg (Ecron) Vial 131,670.00
761 Verapamil tablet 240 mg (Isoptin) Tablet 6,200.00
762 Verapamil tablet 80 mg (HCl) Tablet 215.00
Visco elastic hidroxypropyl methyl celulose
763 Buah 105,270.00
2% (HPMC)
764 Visco elastic sodium hialuronatt Buah 473,000.00
765 Vitamin B Komplek tablet Tablet 83.00
766 Warfarin tablet 2 mg (Simarc) Tablet 699.00
767 Zidovudin tablet 100 mg Tablet 1,700.00
768 Zinc Fosfat Cement (Liquid + Powder) Set 586,850.00
769 Zink drop 10 mg/mL Botol 15 ml -
770 Zink elemental sirup 20 mg / 5 ml Botol 60 ml 2,972.00
771 Zink tablet dispersible 20 mg Tablet 524.00
Isosorbid dinitrat Injeksi
1 .028 x 4" K-Wire Buah 375,700.00

2 .035 x 4" K-wire Buah 319,345.00
3 .045 x 4" K-wire Buah 319,345.00
4 0601-2 Cotton Plier/Pin Set Buah 211,200.00
5 1.6mm 12 Hole Straight Plate, Locking Buah 2,817,750.00
6 1.6mm 3 x 8 T Plate, Locking Buah 2,817,750.00
1.6MM MINIMALLY INVASIVE CONDYLAR
9 Buah 3,944,850.00
PLATE,
10 1.6mm x 10mm Fully Threaded Screw Buah 788,970.00
1.6mm x 10mm Fully Threaded Screw,
11 Buah 1,070,744.99
Angled Locking
12 1.6mm x 10mm Screw Buah 422,662.50
14 Buah 1,070,744.99
Angled Locking
15 1.6mm x 12mm Screw Buah 422,662.50
16 1.6mm x 14mm Screw Buah 422,662.50
17 1.6mm x 6mm AUTO-DRIVE® Screw Buah 350,528.10
19 Buah 1,070,744.99
Angled Locking
22 Buah 1,070,744.99
Angled Locking
23 1.6mm Y Plate, Locking Buah 2,817,750.00
24 1/3 Tubular Plate 4 Holes Buah 257,716.00
34 2.0mm Subcondylar Plate, Locking Buah 3,944,850.00
36 Buah 1,070,744.99
Angled Locking
37 2.0mm x 10mm Screw Buah 329,864.60
39 Buah 1,070,744.99
Angled Locking
40 2.0mm x 12mm Screw Buah 329,864.60
42 Buah 1,070,744.99
Angled Locking
43 2.0mm x 14mm Screw Buah 329,864.60
45 Buah 1,070,744.99
Angled Locking
46 2.0mm x 16mm Screw Buah 329,864.60
48 Buah 1,070,744.99
Angled Locking
49 2.0mm x 18mm Screw Buah 363,301.90
51 Buah 1,070,744.99
Angled Locking
52 2.0mm x 20mm Screw Buah 464,740.90
55 Buah 1,070,744.99
Angled Locking
58 Buah 1,070,744.99
Angled Locking
61 2.4mm 2 x 8 T Plate , Locking Buah 2,817,750.00
62 2.4mm 3 x 8 T Plate , Locking Buah 2,817,750.00
64 2.4mm Subcondylar Plate, Locking Buah 3,944,850.00
66 Buah 1,070,744.99
Angled Locking
67 2.4mm x 10mm Screw Buah 486,155.80
69 Buah 1,070,744.99
Angeld Locking
70 2.4mm x 12mm Screw Buah 486,155.80
72 Buah 1,070,744.99
Angled Locking
73 2.4mm x 14mm Screw Buah 486,155.80
75 Buah 1,070,744.99
Angled Locking
76 2.4mm x 16mm Screw Buah 486,155.80
78 Buah 1,070,744.99
Angled Locking
79 2.4mm x 18mm Screw Buah 486,155.80
81 Buah 1,070,744.99
Angled Locking
82 2.4mm x 20mm Screw Buah 528,234.20
83 2.4mm x 22mm Screw Buah 528,234.20
85 Buah 1,070,744.99
Angled Locking
86 2.4mm x 6mm Screw Buah 443,701.70
88 Buah 1,070,744.99
Angled Locking
89 2.4mm x 8mm Screw Buah 443,701.70
2100 Handles For Mouth Mirrors +2200E-4
91 Buah 167,200.00
mouth mirror ASA
92 24 ga. Stainless Steel Wire (QUICK-FIX™) Buah 1,478,755.20
2804-3A Impression Trays (Sendok Cetak

93 Buah 440,000.00
Gigi Tiruan Sebagian S)
94 Buah 440,000.00
Gigi Tiruan Sebagian M)
95 Buah 440,000.00
Gigi Tiruan Sebagian L)
2806-61/66 Impression Trays (Sendok
96 Buah 616,000.00
Cetak Gigi Tiruan Penuh S)
97 Buah 616,000.00
Cetak Gigi Tiruan Penuh M)
98 Buah 616,000.00
Cetak Gigi Tiruan Penuh L)
99 Acetabular Recontraction Plate 10 Holes Buah 986,156.00
106 Actimove Lombacare Grey XXL Buah 747,054.00
107 Actimove Lombacare Grey-L Buah 747,296.00
108 Actimove Lombacare Grey-M Buah 747,296.00
109 Actimove Lombacare Grey-XL Buah 747,296.00
110 Adult Corrugeted for anasthetic mechines Buah 2,501,000.00
Adult Corrugeted Tubing 160 cm, Y
111 Connector With Port, Elbow Connector With Buah 44,100.00
CO2 Port
112 Adult REM Polihesive II Buah 162,360.00
113 Adult REM polyhesive II tanpa kabel Buah 59,532.00
114 Adult-Pediatric Electrostatic Filter HME Buah 33,000.00
Alat Suntik Sekali Pakai - 2,5 cc x 23G x 1
115 Box 65,000.00
1/4"
116 Alkohol 70% 1L Botol 25,000.00
117 Alkohol Swab Ktk/100 11,604.00
118 Anesthesia conduction kit (Perifix 400) Buah 310,000.00
119 Anesthetic Face mask No.0 Buah 613,981.00
Antiseptika dan Desinfektan Skin Cleanser
122 Botol 500 ml 67,540.00
CHG 2%
Antiseptika dan Desinfektan Skin Cleanser
123 Botol 100 ml 19,317.65
CHG 2% 100 ml
124 Arc Bar Roll 308,427.00
125 Archwire reserve 0,016 x 0.016 Pack 95,172.00
126 Archwire reserve 0,016 x 0.022 Niti Pack 95,172.00
127 Archwire 0,016 x 0.016 Niti pcs 26,400.00
128 Archwire 0,016 x 0.016 SS pcs 11,572.00
129 Archwire 0,016 x 0.022 SS pcs 11,572.00
130 Archwire 0.012 Niti pcs 22,000.00
131 Archwire 0.014 Niti pcs 22,000.00
132 Archwire 0.016 SS pcs 8,580.00
133 Arkansas Bur Bentuk Round (high Speed) Buah 10,824.00
134 Arkansas Bur Bentuk Tapper (high Speed) Buah 10,824.00
135 Arm Sling L Buah 15,840.00
136 Arm Sling M Buah 15,840.00
137 Arm Sling S Buah 15,840.00
138 Articulating Paper ktk/200 285,542.00
139 Artisan Aphakia 5/8,5 P 25 Buah 2,460,920.00
140 Artisan Aphakia 5/8.5 P 19,5 Buah 1,989,900.00
141 Artisan Aphakia 5/8.5 P 20 Buah 1,989,900.00
142 Askina Gel 15 gr Buah 80,876.00
143 Askina Sorb 10 x 10 Buah 70,000.00
Autoclave tape for steam sterilization
144 roll 64,648.00
(Stericlin)
Autoclave tape for steam sterilization 0,75
145 Roll 163,659.00
inch x 60 yards
146 Bed Liner 50 cm x 60 cm Pack 78,375.00
147 Bed Liner 75 cm x 160 cm Pack 281,325.00
Benang Assucryl 1 HRG-40, 100 cm PGA
148 Sachet 67,641.00
(Ref 43417H)
Benang Braided Silk hitam No.0, jarum 3/8

149 circle, reverse cutting d/30mm, minimal Sachet 47,542.00
75cm (Ref 6586)

circle, round bodied heavy (taper) d/37mm,
150 Sachet 33,406.06
minimal 75cm (Silkam 1 HR 37 S) (Ref
C0760978)

circle, round bodied heavy (taper) d/48mm,
151 Sachet 85,510.00
minimal 75cm (Silkam 2 HR 48 S) (Ref
C0760633)
Benang Catgut Chromic Needle No.2/0,

Jarum 1/2 circle, round bodied heavy d/38
152 Sachet 46,769.00
mm, minimal 90 cm (Chromic 2-0) (Ref
334N)
Benang Catgut Chromic No.0, jarum 1/2

153 circle, round bodied, d/ 38mm, minimal Sachet 63,390.00
90cm ( Chromic 0 335 N)
Benang Catgut Chromic No.1, jarum 1/2

90cm (Chromic 1 340 N)
Benang Catgut Chromic No.3/0, jarum 1/2

75cm (Chromic 3/0 311)
Benang Catgut Cromic Needle No.2, jarum

156 1/2 circle, round bodied heavy, d/ 50mm, Sachet 63,390.00
minimal 100cm (Chromic -2-) Ref 2448 H
157 Benang Chromic No 1 SRCC01 Roll 1,555,400.00

158 Benang Chromic No 2-0 9116 Roll 1,599,787.00
159 Benang Chromic No. 3 40 M 9247 Roll 717,750.00
Benang Monofil Nylon/Polyamide blue
No.5/0, jarum 3/8 circle, reverse cutting,
160 Sachet 35,077.00
d/15 mm, minimal 75cm (Nylon 5/0) Ref
5532
Benang Monofilament Polypropylene Biru

No. 2/0, Jarum 3/8 circle, reverse cutting
161 Sachet 71,787.00
d/40mm-Minimal 100 cm (Prolene 2-0
W8689)

No. 6/0,3/8 circle, round bodied taper point
162 Sachet 191,548.00
(visi black) d/13mm, min 60 cm ( Prolene 6-
0 W8307)

No. 6/0,3/8 circle, round bodied taper point
163 Sachet 109,261.75
(visi black) d/13mm, min 75 cm ( Prolene 6-
0 W8706)
Benang Nylon 10-0, 30 cm Micropoint

164 Spatula (double needle), 3/8 circle, 6 mm Sachet 159,441.00
(Ref 584560) T-Nylon
Benang operasi ASSUT Polypropylene 2/0

165 Sachet 48,315.00
HR-27 Taper 75 cm Ref 9255
Benang operasi ASSUT Polypropylene 3/0
166 Sachet 48,315.00
TS-24 Cutting 75 cm Ref 9564
Benang operasi ASSUT Polypropylene 6/0 2
167 Sachet 151,535.00
x TR13 Taper 75 cm
Benang operasi DEMETECH Silk 4/0 45c
168 Sachet 20,833.33
dan Jarum 3/8 19m C
169 Benang Plain 2-0 Ref 9146 Roll 1,599,606.00
170 Benang Plain 3/0 HR-27, 75cm Ref 209 Sachet 37,203.00
171 Benang Plain 3-0 Roll 1,554,760.00
172 Benang Plain 4/0 HR-17, 75cm Ref 203 Buah 37,203.00
Benang Poliglicolic Acid violet No.6/0, jarum

3/8 circle ,Precision point-reverse cutting,
173 Sachet 77,304.00
d/12mm, minimal 45cm (Assucryl 6/0) Ref
45201F
Benang Polyglactin 910 coated No.0 Jarum

174 1/2 circle round bodied d/48mm minimal Sachet 81,302.00
90cm violet (Vicryl 0 W9450)

175 1/2 circle tupercut d/40mm Minimal 90cm Sachet 81,790.00
violet (Vicryl 0 W9467)

176 1/2 circle round bodied d/36mm Minimal 90 Sachet 81,327.00
cm violet (Vicryl 1 J347H)

cm violet (Vicryl 2 W9246)

cm violet (Vicryl 2 W9452)
Benang Polyglactin 910 coated No.3/0

179 Jarum 3/8 circle reserve cutting d/19mm Sachet 63,175.00
Minimal 45 cm violet (Vicryl 3/0 J393H)
Benang Polyglactin 910 rapide No.2/0
Jarum 3/8 circle Precision point- reserve
180 Sachet 83,535.00
cutting d/36mm, Minimal 75 cm undyed
(Vicryl 2/0 W9938)
Benang Polyglactin 910 rapide No.2/0,

181 Jarum 1/2 circle tupercut d/36mm, Minimal Sachet 60,447.00
90 cm undyed (Vicryl 2/0 W9962)

182 Jarum 3/8 circle reserve cutting d/36mm, Sachet 70,124.00
Minimal 75 cm(Vicryl 2/0 W9961 )
Benang Polyglactin 910 rapide No.3/0

Jarum 3/8 circle Precision point- reserve
183 Sachet 104,617.00
cutting d/26mm Minimal 75 cm undyed
(Vicryl 3/0 W9932)

184 Jarum 3/8 circle reserve cutting d/19 mm, Sachet 64,252.00
Minimal 75 cm(Vicryl 3/0 W9931)

185 Jarum 3/8 circle reserve cutting d/26mm Sachet 71,787.00
Minimal 75 cm (Vicryl 3/0 W9940)
Benang Polyglactin Coated Suture No.2,

186 Jarum 1/2 circle heavy, tapper cut d/45mm Sachet 83,150.00
minimal 75 cm (Vicryl 2 W9378)
Benang polyglicolic Acid Violet No.1, Jarum

187 1/2 circle Round Bodied, d/50 mm, Minimal Sachet 67,641.00
100 cm (Assucryl 1) (Ref 43437 H)
Benang polyglicolic Acid Violet No.2/0,

188 Jarum 1/2 circle Round Bodied Heavy, d/26 Sachet 83,753.00
mm, Minimal 70cm (Safil 2/0 HR 26)
Benang polyglicolic Acid Violet No.2-0,

Jarum 1/2 circle Round Bodied heavy, d/30
189 Sachet 67,641.00
mm, Minimal 75 cm (Assucryl 2-0) Ref
43325
Benang polyglicolic Acid Violet No.3-0,

190 Jarum 1/2 circle Round Bodied, d/27 mm, Sachet 78,582.00
Minimal 75 cm (Assucryl 3-0) Ref 4254
Benang polyglicolic Acid Violet No.8/0,

curved 6.2 mm, Spatula, 150 mikrons,
191 Sachet 166,688.00
Double Armed , Minimal 45 cm (Assucryl 8-
0)
Benang Polyglycolic Acid violet No. 3/0,

192 jarum 3/8 circle, reverse cutting, d/ 24mm, Sachet 84,098.00
minimal 70cm (Safil 3/0 Quick DS 24)
Benang Polyglycolic Acid violet No. 4/0,

193 jarum 3/8 circle, Reverse Cutting, d/ 16mm, Sachet 73,458.00
minimal 45 cm (Safil 4/0 DS 16)
Benang Polyglycolic Acid violet No.0, jarum

194 1/2 circle, tupercut heavy, d/ 37mm, minimal Sachet 86,364.00
90cm (Safil 0 HRT 37S)
Benang Polyglycolic Acid violet No.2, jarum

195 1/2 circle, tupercut, d/ 48mm, minimal 90cm Sachet 111,107.00
(Safil 2 HRT 48)
Benang Polyglycolic Acid violet No.3/0,
196 jarum 3/8 circle, reverse cutting, d/ 19mm, Sachet 77,755.00
minimal 45cm (Safil 3/0 DS 19)
Benang Polypropylene 3/0 dan Jarum 3/8

197 Sachet 70,833.33
70c 19m C (PHNJN) DEMETECH
Benang Polypropylene 4/0 75c dan Jarum
198 Sachet 25,000.00
3/8 16m C DEMETECH
Benang Polypropylene 4/0 HR-17 Taper 75
199 Sachet 48,315.00
cm (Ref 9233)
Benang Polypropylene biru No.1, Jarum 1/2

200 circle round bodied d/38mm heavy, Minimal Sachet 48,315.00
100cm (Polypopylene 1) Ref 9347H
Benang Polypropylene biru No.1, jarum 1/2

201 circle round bodied d/40mm, Min100 cm Sachet 73,326.00
(Prolene 1 W742)
Benang Polypropylene biru No.2/0, Jarum

202 1/2 circle round bodied d/26mm, Min 75 cm Sachet 81,280.00
(Prolene 2/0 8833 H)
Benang Polypropylene biru No.3/0, Jarum

203 1/2 circle round bodied d/26mm, Minimal 75 Sachet 87,170.00
cm (Prolene 3/0 8832 H)
Benang Safil Violet 1 HR 40s 90cm (Ref

204 Sachet 87,750.00
C1048557) BBRAUN
Benang Safil Violet 3/0 (2) 70 CM HR17 (M)
205 Sachet 90,830.00
(Ref C1048014) Bbraun
Benang Safil Violet 4/0 (1.5) 70 CM HR17
206 Sachet 79,949.00
(M) (Ref C1048013) Bbraun
Benang Silk 1 75c dan Jarum 1/2 37m R
207 Sachet 20,833.33
(SL0DA) DEMETECH
Benang Silk 4/0 45c dan Jarum 3/8 19m C
208 Sachet 20,833.33
(SGNJE) DEMETECH
Benang Silk Black braided No. 5/0 Jarum

209 1/2 circle Reverse cutting d/17 mm minimal Sachet 71,500.00
75 cm
Benang Silk black braided No.2/0 Jarum 1/2

210 circle round bodied d/27mm Minimal 75 cm Sachet 35,077.00
(Silk 2/0) Ref 610
Benang Silk black braided No.2/0 Jarum 3/8

211 circle Reverse cutting d/27mm Minimal Sachet 47,542.00
75cm Ref 654
Benang Silk black braided No.4/0-1/2 circle,

212 reverse cutting d/19mm minimal 75cm (Silk Sachet 40,852.00
4/0 Ref 647)
Benang Silk black braided No.4/0-1/2 circle,

213 round bodied d/17mm minimal 75cm (Silk Sachet 35,077.00
4/0 Ref 604)
Benang Silk braided hitam No.3/0 Jarum

214 3/8 circle Reverse cutting d/25mm minimal Sachet 43,993.00
75 cm (Silk 3/0) Ref 25290
Benang Silk braided hitam No.3/0 Jarum

215 3/8 circle Reverse cutting d/27mm minimal Sachet 35,077.00
75 cm (Silk 3/0) Ref 653
Benang Silk braided No. 1 tanpa jarum Ref
216 Roll 829,118.00
14837
Benang Silk braided No. 2 tanpa jarum
217 Roll 594,000.00
SRSB02
Benang Silk Braided No. 2/0 Tanpa Jarum
218 Roll 737,114.00
(Ref 14797)
219 Roll 678,989.00
(Ref 14777)
220 Roll 594,000.00
(SRSB 40)
Benang Silk braided No.1, jarum 1/2 circle,

221 round bodied, d/38mm, minimal 75 cm (Silk Sachet 57,627.00
1) Ref 6347N
Benang Silk braided No.5/0, jarum 1/2 circle,

222 round bodied, d/17mm, minimal 75cm Sachet 31,119.00
(Demesilk 5/0) Ref SK265017 BOP

223 reverse cutting, d/15mm, minimal 75cm (Silk Sachet 35,077.00
5/0) Ref 6532

224 round bodied, d/ 11 mm, minimal 75cm Sachet 172,675.00
(Mersilk 5/0 W595)

225 precision point reverse cutting, d/16mm, Sachet 107,250.00
minimal 45cm (Demesilk 6/0)
Benang Silk braided suture No.0, Jarum

226 1/2circle round bodied d/31mm, Minimal Sachet 35,077.00
75cm (Mersilk 0 W334H)
Benang Silk braided suture No.2/0, Jarum

227 1/2circle round bodied d/25mm minimal Sachet 37,744.00
75cm (Mersilk 2-0 W327)

228 1/2circle round bodied d/20mm, minimal Sachet 40,480.00
75cm (Mersilk 4/0 W586)

229 3/8 reserve cutting d/13mm, Minimal 45 cm Sachet 55,852.00
(Seta Mersilk 4/0 W811)
Benang Surgical Gut Plain No.0, Jarum 1/2

230 circle round bodied d/26mm, minimal 70 cm Sachet 54,121.00
( Simple plain No. 0 G324T)
Bioteq Ureteral DJ Stent OC 5/26 GW

231 Buah 477,205.00
0,028" Single Loop
Bioteq Ureteral DJ Stent OC 6/26 GW
232 Buah 477,205.00
0,032" Single Loop
Bioteq Ureteral DJ Stent OO 5/26 GW
233 Buah 477,205.00
0,028" Single Loop (open)
Bioteq Ureteral DJ Stent OO 6/26 GW
234 Buah 477,205.00
0,032" Single Loop (open)
235 Bisturi No 11 Buah 3,000.00
239 Blood Set Buah 13,976.00
240 Blood Set For Pump Buah 42,702.00
Blue Cup Plastic Vacum Tubes Sodium
241 Buah 1,848.00
Citrate 2,7 ml
242 Blue Cup Sample Pack/1000 511,500.00
243 Blue Tip Buah 227.10
244 Bonding Pasta Ortho (System One Plus) unit 3,512,025.00
245 Bone Wax Buah 51,800.00
246 Bongener 1 cc Buah 2,650,000.00
247 Bongros 5 cc Buah 1,700,000.00
248 Botol Coklat 200 ml Buah 3,200.00
249 Botol Coklat 300 ml Buah 5,000.00
250 Botol Gelas Coklat 100 ml bertutup Buah 3,300.00
251 Botol Gelas Coklat 500 ml bertutup Botol 7,700.00
Bowie Dick Helix Test (Tubing + 100 Test
252 Pack 1,275,400.00
Strip + Cotton Bag)
253 Box Object Gelas'100 Grey and Orange Buah 75,435.57
254 Bracket stainless steel slot 0.018 Set 1,237,500.00
255 Broad DCP Plate 10 Holes Buah 715,292.00
261 Brush (Untuk Bur Low Speed) Buah 22,785.00
262 BTR/Monitoring Kit Double Buah 704,000.00
263 BTR/Monitoring Kit Single Buah 352,000.00
264 Bukal Tube Bonding Set 675,840.00
265 Bur fissure diamond Buah 38,553.00
266 Bur poles amalgam set/ktk set/ ktk 484,670.00
267 Bur poles resin composit set/ktk set/ ktk 484,670.00
268 Bur tulang fissure hp 703 Buah 52,598.00
269 Bur tulang/round bur No.7 bahan titanium Buah 41,308.00
270 Bur tulang/round bur No.8 bahan titanium Buah 41,308.00
271 Button Bonding pcs 104,271.75
272 Button Switch Pencil with Holder-Disposable Buah 343,478.00
273 Cancellous Screw 4.0 Ø 1/2 Alur 12 Buah 102,560.00

288 Cancellous Screw 4.0 Ø Full Alur 12 Buah 102,560.00
337 Cangkang kapsul No. 0 Kapsul 39.00
342 Cap Premium Buah 35,700.00
343 Catheter Mounts (Swivel connector) Buah 29,040.00
344 Celluloid strip ktk 152,331.00
345 Certofix Duo V720 Buah 550,000.00
346 Certofix Trio V720 Buah 650,000.00
347 Cervical Collar SR-N1 (Serenity) Buah 114,000.00
348 Child REM polyhesive II tanpa kabel Buah 59,532.00
349 Children Corrugated for anesthetic machine Buah 4,329,600.00
350 Chlorhexidine 4% b/v Botol 500 ml 90,986.00

351 Clavicula S-Plate 5 Holes Left Buah 986,156.00
352 Clavicula S-Plate 5 Holes Right Buah 986,156.00
361 Closed Spring Niti/ Closed Coil Spring Roll 412,720.00
Closed Suction System, Endotracheal
362 Buah 338,105.40
Double Swivel Elbow FR 12
Closed Suction System, Endotracheal
363 Buah 337,150.30
Double Swivel Elbow FR 14
364 Coated blade extended electrode Buah 137,500.00
365 Colostomy Bag With Drainage Buah 24,200.00
366 Condom Catheter (Uridrop) L Buah 3,200.00
367 Condom catheter L Buah 5,953.00
368 Condom catheter M Buah 4,510.00
369 Condom catheter S Buah 4,510.00
370 Condylar Buttress Plate 11 Holes Shaft Left Buah 986,156.00
Condylar Buttress Plate 11 Holes Shaft

371 Buah 986,156.00
Right
Condylar Buttress Plate 13 Holes Shaft

373 Buah 986,156.00
Right
375 Condylar Buttress Plate 5 Holes Shaft Right Buah 986,156.00
380 Cortical Screw 3.5 Ø 12 Buah 76,263.00

Cortical Screw Diameter 4.5 mm L:30 mm
416 Buah 561,000.00
Titanium
Cortical Screw Diameter 4.5 mm L:32 mm
417 Buah 561,000.00
Titanium
418 Cresent knive (Tombak) Buah 187,916.30
419 Cutimed Gel 15 gram Tube 45,591.00
420 Cutimed Hydro B 10 cm X 10 cm Buah 40,656.00
421 Cutimed Hydro L 10 cm X 10 cm Buah 29,040.00
Cutimed Siltec Super Absorbent Silicone 10
422 Buah 31,756.00
X 10 Cm
Cutimed Siltec Super Absorbent Silicone 10
423 Buah 49,645.00
X 20 Cm
424 Cutimed Sorbact Swap 7 x 9 cm Buah 30,503.00
Cutisorb Absorbent Compress 10 cm x 10
425 Buah 6,748.00
cm
426 Cutton Bud Dewasa Buah 35.50
427 Cystofix Basic Set 12 cm Kit 383,000.00
428 Cystofix Basic Set 8 cm Buah 450,000.00
429 Delta Dry (7,5 cm x 2,4 m ) Buah 64,602.38
430 Depper Bola 2.5 cm x 3 cm x 50's Plain Pack/50 16,001.00
Desinfektan ruangan mengandung air 94 %,

H2O2 <6% bebas dari alkohol, quats,
431 biguanide, aldehyde, phenols, peracetics Galin 20 L 18,741,250.00
acids, Volatiles Organic Compounds (VOC)
20 liter
Desinfektan permukaan dan lantai
mengandung: N- (3-aminopropyl)- N-
Dudecylpropane-1,3-diamine - CAS N 2372-
432 Galon 973,252.50
82-9,
didecyldimethylammonium chloride- CAS N
7173-51-5 (Surfanios Premium)
Desinfektan ruangan mengandung air

94 %, H2O2 <6% bebas dari alkohol, quats,
433 biguanide, aldehyde, phenols, peracetics aci Botol 1000 ml 1,436,875.00
ds, Volatiles Organic Compounds (VOC)
Biosanitizer aHpP
434 Developer Liquid Box 447,216.00

435 DG Gel Coombs 2x25 cards Box 3,467,330.00
436 DG Gel Sol 2x100 ml Box 1,304,325.00
437 Disposible 1 cc Buah 1,614.00
438 Disposible 1 cc Insulin Buah 2,360.00
444 Disposible 50 cc cath tip Buah 11,990.00
Distal Femoral Locking Plate LCP Titanium
445 Buah 5,808,000.00
09 Holes Left
446 Dop Mata Buah 11,000.00
447 Dynacast Prelude 10 Buah 1,871,800.00
448 Dynacast Prelude 12,5 cm Buah 2,047,280.00
449 Dynacast Prelude 7,5 cm Buah 1,740,190.00
450 EKG Z-Fold Paper 80 MM wide Buah 101,064.70
451 Elastic 1/4 Oz Pack 21,120.00
452 Elastic 3/16 Oz Pack 21,120.00
Elastic Bandage ukuran 10 cm x 4,5 m
453 Buah 21,406.00
(Non-Adhesive Bandage) Uniflex
Elastic Bandage ukuran 15 cm x 4,5 m
454 Buah 29,189.00
Elastic Bandage ukuran 7,5 cm x 4,5 m
455 Buah 17,515.00
456 Elastis perban 10 CM x 4,5 M Roll 43,987.00
457 Elastis perban 15 CM x 4,5 M Roll 54,139.00
458 Elastis perban 7,5 CM x 4,5 M Roll 36,012.00
459 Elastomull Haft 10 cm x 4 m Buah 39,973.00
460 Elastomull Haft 8 cm x 4 m Buah 33,312.00
Electrosurgery Grounding Pad-Bipolar Cable
461 Buah 39,915.00
Anak
Electrosurgery Grounding Pad-Bipolar Cable
462 Buah 39,915.00
Dewasa
Electrosurgery Grounding Pad-Bipolar
463 Buah 15,822.00
Tanpa Cable Anak
Electrosurgery Grounding Pad-Bipolar
464 Buah 15,822.00
Tanpa Cable Dewasa
465 Electrosurgery Pencil Biru Buah 25,000.00
466 Electrosurgery Pencil Putih Buah 25,000.00
Electrosurgical electrode-tungsten loop-20
467 Buah 467,500.00
mm x 12 mm, panjang 13 cm
468 Elektrocardiograph Elektrode Skintact Paper Sachet/100 125,000.00
469 Elektroda EKG Anak Bag/30 pcs 87,946.00

470 Elektroda EKG dewasa Bag/30 pcs 65,960.00
471 Elektroda EKG Dewasa Blue Sensor Pack 106,000.00
472 ETT cuff ch 2,5 Buah 20,000.00
473 ETT Cuff ch 3 Buah 22,500.00
474 ETT Cuff ch 3,5 Buah 19,000.00
476 ETT Cuff ch 4,5 Buah 24,200.00
478 ETT Cuff ch 5,5 Buah 19,000.00
480 ETT Cuff ch 6,5 Buah 19,000.00
481 ETT Cuff ch 6,5 Non Kingking Buah 320,004.00
483 ETT Cuff ch 7 Non Kingking Buah 204,618.00
484 ETT Cuff ch 7,5 Buah 19,000.00
486 ETT unCuff ch 4 Buah 57,475.00
ETT. Oral/Nasal Tracheal Tube Cuffless I.D.
487 Buah 20,000.00
2.0mm
ETT. Oral/Nasal Tracheal Tube Cuffless I.D.
488 Buah 19,000.00
2.5mm
489 Extention tube 150 cm(1,5 ml ) Buah 24,240.52
490 Extention tube 200 cm Buah 6,850.00
491 Extention tube 75 cm (2,5 ml ) Buah 7,040.00
492 Eye Drap Pcs 48,300.00
493 Female Catheter no.16 Buah 5,720.00
494 Film USG 110 x 19 Roll 209,000.00
495 Fine Pen Needle 31G X 5 Asia Box 1,913.45
496 Fixer Liquid Box 304,920.00
497 Fixomull Stretch 10 cm x 5 m Buah 70,903.00
498 Fixomull Stretch 15 cm x 5 m Buah 112,087.00
499 Folley Catheter 2 way No 16 Silicon Buah 27,269.00
502 Folley Catheter 2 way No.10 Buah 42,565.00
506 Folley catheter 2 way No.22 Buah 11,800.00
507 Folley catheter 2 way No.24 Buah 11,800.00
510 Folley Catheter 3 way No 20 Buah 50,050.00
513 Folly Catheter 2 way No.18 Buah 12,100.00
514 Fotometer tubing (selang) Buah 85,092.00
515 Fygon 10 mm Buah 432,960.00
516 Fygon 8 mm Buah 302,500.00
517 Gates Glidden 19mm 001-006 Buah 346,500.00
Gauze steril ukuran 10 cm x 10 cm (Cuticell
518 Buah 5,198.00
Classic)
519 General drape ukuran 160 cm x 140 cm Buah 31,800.00
524 Glucose Test Strips (Accu-Chek) Box 420,000.00
525 Glucose Test Strips (One Touch Verio) Box/50 6,106.58
526 Gudel airway sterile 110 mm Buah 12,574.39
527 Gudel airway sterile no 0 (50 mm) Buah 12,574.39
533 Gun Shooter Buah 2,320,312.00
534 Gynaecology set Set 235,928.00
535 Gynecology set drape disposible Set 537,570.00
Hand piece spray (Cairan Pelumas
536 Tabung 676,500.00
Instrumen - Aesculap)
537 Hand Rub 10 btl @ 500 ml E-CARE Botol 60,800.00
538 Hand Scrub 500 ml Botol 74,000.00
Hemostatis (oxidized regenerated cellulose)
539 Pack 102,960.00
size 5x7,5 cm
Hemostatis (oxidized Regenerated

540 Buah 650,549.80
Cellulose) Surgicel Fibrillar size 5x10,2 cm
541 Infant delivery system sirkuit Set 1,277,232.00

542 Infus set anak Buah 9,130.00
543 Infus set dewasa Buah 5,950.00
544 Instrument Desinfectan 1000 ml (Stabimed) Botol 620,000.00
545 Instrument Desinfectan Enzym (Helyzime) Botol 1 L 375,000.00
Instrument Desinfectan Enzym Sachet 25
546 Sachet 25 mg 32,040.00
mg (Alkazyme)
Instrument Desinfectan Tingkat Tinggi 1000
547 1 Liter 2,702,700.00
ml (Alkacide)
548 Intubating Stylet 10Fr Buah 62,000.00
549 Intubating Stylet 6Fr Buah 59,000.00
550 Intubation stylet Buah 165,000.00
551 IV Catheter NO 14G Buah 8,355.00
552 IV Catheter NO 18G Buah 3,800.00
553 IV Catheter NO 20 G Buah 14,740.00
556 Jackson Ress Morton Buah 3,588,000.00
557 Jarum Anestesi blok (ekstrimitas atas) Buah 177,345.00
558 Jarum Anestesi blok (ekstrimitas bawah) Buah 177,345.00
Jarum Citoject 100's (carpul needle) merk
559 Box isi 100 150,150.00
CK Ject Korea
560 Jarum endodontik filling No.15-40 Buah 27,131.00
561 Jarum endodontik filling No.45-80 Buah 32,825.00
562 Jarum Exterpasi Asorted Strip 113,850.00
563 Jarum Kulit No 11 Bungkus/ 12 18,942.00
Jarum Nukleus Hidro Diseksi Flat End 25 G
566 box/12 sachet 77,000.00
X 7/8"
567 Jarum Otot 11 Bungkus/ 12 18,942.00
570 Jarum Plugger set/ ktk 138,131.00
571 Jarum Spreader set/ ktk 138,131.00
572 Jarum usus PB 3 (sac'12) Bungkus/ 12 11,068.00
Kancing indentitas pasien warna kuning
575 Buah 1,796.85
(Fall Risk)
Kancing indentitas pasien warna merah
576 Buah 1,796.85
(Allergy)
Kancing indentitas pasien warna ungu
577 Buah 1,796.85
(DNR)
578 Kancing sign gelang pasien berbagai warna Buah 1,000.00
579 Kapas 500 g Roll 27,500.00

580 Kapas Berlemak 500 mg Roll 16,500.00
581 Kapas Gips 3 Inch Roll 11,162.00
582 Kapas Gips 4 Inch Roll 14,425.00
583 Kapas Gips 6 inch Roll 19,355.00
584 Kapas pembalut/absorben 250 gram Roll 12,500.00
585 Karet Separator pcs 5,280.00
586 Kasa gulung 40 m x 80 cm Roll 105,000.00
587 Kasa Hidrofil DRC 36m x 80cm Buah 130,000.00
588 Kasa hydrophil steril 16 x 16 Box/16 5,800.00
589 Kasa Kecil 10 cm x 3,6 m Roll 6,236.00
590 Kasa Kompres Steril 40 x 40 Buah 1,600.00
591 Kasa lipat 10 cm x 7,5 cm Buah 13,638.00
592 Kasa Lipat 100 cm x 14 m x 8 lipat Buah 14,323.00
593 Kasa Lipat 10x7,5x32 Ply Pack 128,700.00
594 Kasa Lipat 10x7,5x32 Ply X-Ray Pack 198,000.00
595 Kasa lipat 5 cm x 6,5 cm Buah 8,981.00
596 Kasa lipat X Ray 10 cm x 7,5 cm Buah 27,060.00
597 Kasa Lipat X-Ray 10x10x16 Ply Pack 215,424.00
Kasa Steril 10 x 10 cm, 16 ply, 1x10's with x
598 Pack 22,005.00
ray line
599 Kasa Steril 10 x10 cm, 16 ply, 1x10's Pack 18,610.00
600 Kasa Steril 5 x 5 cm, 8ply 1x5's Buah 2,892.00
601 Kasa Steril 7.5 x7.5 cm, 16 ply, 1x10's Pack 11,308.00
Kendall Sterile Water for Inhalation USP with
602 Botol 325 ml 52,000.00
O2 Humidifier Adapter
603 Lembar 10,400.00
604 Kertas Chorometric CAO 4305 Buah 143,000.00
605 Kertas CTG ukuran 10 cm x 14,5 cm Pack 275,000.00
606 Kertas CTG ukuran 150 mm x 90 mm Pack 143,000.00
607 Kertas EKG 210mm x 295mm x 150 lembar Pak 262,000.00

608 Kertas EKG 6,3 x 100 mm (Fukuda) Pack 39,843.00
609 Kertas EKG 9cmx11 Pack 80,259.00
610 Kertas EKG type Mac 400 Buah 74,250.00
611 Kertas EKG type Mac 500 Buah 93,775.00
612 Kertas perkamen untuk puyer obat Lembar 33.00
613 Kertas thermal paper ukuran 110 mm x 30 m Roll 66,000.00
Kertas Thermal Roll 44 mm x 30 M untuk

614 Roll 25,500.00
audiometri
615 Kobayashi Wire pcs 7,350.75
616 Konektor Ambil Darah Buah 33,825.00
617 Konektor Vial Buah 20,350.00
618 K-Wire With Double Trocar Tip Ø 1,0 Buah 224,400.00
624 Lakmus merah Pak/100 54,120.00
625 Laminaria M Buah 70,356.00
626 Lance Tip Knive Buah 232,750.00
627 Lancet Bayi Buah 8,551.62
628 Lancet Dewasa Box 127,050.00
629 Laryngeal mask no.1 Buah 124,000.00
631 Laryngeal mask no.2,5 Buah 124,000.00
634 Lensa Acryfold Foldable Lens Power 0 Buah 385,000.00
635 Lensa Acryfold Foldable Lens Power -1 Buah 385,000.00
640 Lensa Acryfold Foldable Lens Power 17,5 Buah 385,000.00
664 Lensa Artisan Aphakia 5/8.5 P 18 Buah 1,989,900.00
665 Lensa Aspheric IOL Tecnis P.12 Buah 2,103,750.00
667 Lensa Aspheric IOL Tecnis P.16,5 Buah 2,103,750.00
680 Lensa Aspheric P. 24 (Rayner) Buah 1,672,000.00
681 Lensa Centryfold Foldable Lens Power 29 Buah 385,000.00
Lensa Classyfold Aspheric Foldable Lens
682 Buah 484,000.00
Power 22
Lensa Naspro NAS 207 Aspheric Foldable
683 Buah 484,000.00
Power 0
684 Buah 484,000.00
Power 1
685 Buah 484,000.00
Power 10
686 Buah 484,000.00
Power 10,5
687 Buah 484,000.00
Power 11
688 Buah 484,000.00
Power 11,5
689 Buah 484,000.00
Power 12
690 Buah 484,000.00
Power 12,5
691 Buah 484,000.00
Power 13
692 Buah 484,000.00
Power 13,5
693 Buah 484,000.00
Power 14
694 Buah 484,000.00
Power 14,5
695 Buah 484,000.00
Power 15
696 Buah 484,000.00
Power 15,5
697 Buah 484,000.00
Power 16
698 Buah 484,000.00
Power 16,5
699 Buah 484,000.00
Power 17
700 Buah 484,000.00
Power 17,5
701 Buah 484,000.00
Power 18
702 Buah 484,000.00
Power 18,5
703 Buah 484,000.00
Power 19
704 Buah 484,000.00
Power 19,5
705 Buah 484,000.00
Power 2
706 Buah 484,000.00
Power 20
707 Buah 484,000.00
Power 20,5
708 Buah 484,000.00
Power 21
709 Buah 484,000.00
Power 21,5
710 Buah 484,000.00
Power 22
711 Buah 484,000.00
Power 22,5
712 Buah 484,000.00
Power 23
713 Buah 484,000.00
Power 23,5
714 Buah 484,000.00
Power 24
715 Buah 484,000.00
Power 24,5
716 Buah 484,000.00
Power 25
717 Buah 484,000.00
Power 25,5
718 Buah 484,000.00
Power 26
719 Buah 484,000.00
Power 27
720 Buah 484,000.00
Power 28
721 Buah 484,000.00
Power 29
722 Buah 484,000.00
Power 3
723 Buah 484,000.00
Power 3
724 Buah 484,000.00
Power 30
725 Buah 484,000.00
Power 6
726 Buah 484,000.00
Power 7
727 Buah 484,000.00
Power 8
728 Buah 484,000.00
Power 9
729 Lensa Omni Lens Power 20 Buah 484,000.00
730 Lensa Rohto Neo Eye Foldable Power 22 Buah 429,000.00
731 Lensa Swissfold Foldable lens Power 16 Buah 484,000.00
732 Lensa Swissfold Foldable lens Power 16,5 Buah 484,000.00
734 Lensa Swissfold Foldable lens Power 17,5 Buah 484,000.00

737 Lidokain jel 2% Buah 41,600.00
Ligature Wire (Lebih kecil/halus dari D 0,4
738 Roll 116,160.00
mm)
Locking Cannulate Screw d 7.3 L:70 mm,
739 Buah 1,452,000.00
Titanium
740 Locking Screw Ø 5.0 L:28 mm, Titanium Buah 561,000.00
749 L-Plate 4.5 mm 5 Holes Left Buah 946,710.00
750 L-Plate 4.5 mm 5 Holes Right Buah 946,710.00
751 L-Plate 4.5 mm 7 Holes Left Buah 946,710.00
752 L-Plate 4.5 mm 7 Holes Right Buah 946,710.00
753 Lysol Botol 41,000.00
754 Maleollar Screw 4.5 Ø 30 Buah 102,560.00
Maleolus Medialis Buttress Plate ( MMB ) 3
763 Buah 986,156.00
Holes
764 Buah 986,156.00
Holes
765 Buah 986,156.00
Holes
766 Buah 986,156.00
Holes
767 Masker 02 anak Buah 43,837.00
768 Masker 02 anak non rebreathing Buah 43,079.00
769 Masker 02 anak rebreathing Buah 43,837.00
770 Masker 02 dewasa Buah 6,400.00
771 Masker 02 dewasa non rebreathing Buah 24,640.00
772 Masker 02 dewasa rebreathing Buah 37,667.00
773 Masker nebulizer anak Buah 28,300.00
774 Masker nebulizer dewasa Buah 28,300.00
775 Masker surgical tie on Box 20,570.00
Mata Scaler No. 1 Merk Satelec Acteon
776 Buah 2,035,000.00
France
777 Medical Respirator N95 Box 390,000.00
778 Medical X Ray Dental film 3x4 cm Box 871,200.00
Medical X ray film green sensitive 18 x 24
779 Box 528,000.00
cm
780 Box 891,000.00
cm
781 Box 1,452,000.00
cm
782 Box 1,518,000.00
cm
783 Box 1,914,000.00
cm
784 Membran Amnion 3 cm x3 cm Buah 35,000.00
Molar Band All Size lot 0,018 with lingual clip
785 pcs 105,600.00
N0.25
786 pcs 105,600.00
N0.26
787 pcs 105,600.00
N0.27
788 pcs 105,600.00
N0.28
789 pcs 105,600.00
N0.29
790 pcs 105,600.00
N0.30
791 pcs 105,600.00
N0.31
792 pcs 105,600.00
N0.32
793 pcs 105,600.00
N0.33
794 pcs 105,600.00
N0.34
795 pcs 105,600.00
N0.35
796 pcs 105,600.00
N0.36
797 Mtwo Assorted 21 mm #10-40 (21456) Buah 1,039,500.00
798 Mtwo Assorted 25 mm #10-40 Buah 1,039,500.00
799 Mtwo Retreatment Files Asstd Buah 1,138,500.00
800 Mtwo Taper 04, 21mm #010 Buah 1,039,500.00
814 Narrow DCP Plate 10 Holes Buah 620,621.00
822 Nasal O2 canul anak Buah 6,930.00
823 Nasal O2 canul bayi Buah 6,600.00
824 Nasal O2 canul dewasa Buah 6,930.00
825 Needle 23 G 1-1/4" Buah 330.00
826 Needle 25 Buah 311.00
829 Nelaton Catheter Buah 8,800.00
Nephrostomy Kit Catheter FR 8/30
830 Buah 2,268,750.00
(Renovision)
Nephrostomy/Drainage Pigtail Catheter FR
831 Buah 582,652.00
8/40
832 Niti Open Coil Spring Buah 1,603,800.00
833 Non Woven Fixation 15 cm x 10 m Buah 96,850.00
834 Object Glass 7101 Buah 17,600.00
835 Object Glass Frosted 7105 Buah 20,747.75
836 Opsite Post Op 15.5x8.5cm Buah 24,200.00
837 Opthalimic Couter Buah 253,000.00
838 Paper Mouth Piece Buah 4,400.00
839 Partus set (bidan) Set 111,375.00
840 Peeso Glidden 19mm Assorted Buah 346,500.00
841 Pembalut wanita bersalin L Pack 1,429.00
842 Pen Needle 32G X 4 MM ktk/100 2,186.80
843 Peneng Bayi Laki-Laki (Biru) Buah 742.50
844 Peneng Bayi Perempuan (Pink) Buah 742.50
845 Peneng Dewasa Laki-Laki (Biru) Buah 1,429.00
846 Peneng Dewasa Perempuan (Pink) Buah 742.50
847 Pipet tetes ktk/100 Buah 2,200.00
848 Pipet volume 10 ml Buah 39,555.00
849 Pipet volume 5 ml Buah 37,852.00
850 Pisau Cukur Disposible Buah 5,898.00
851 Plester 0,5 Inch x 5 yard Roll 6,380.00
852 Plester 3 Inch x 5 yard(7,5 X 4,5) Roll 26,600.00
853 Plester Bedah 1'x10 yard Roll 34,462.00
854 Plester kertas 0.5" X 10 Y Roll 10,953.08
855 Plester kertas 1"x10 Y Roll 18,085.67
856 Plester of paris bandage 3" 3.5Mx7.5CM Roll 14,713.00
857 Plester of paris bandage 4" 3.5Mx10CM Roll 21,080.00
858 Plester of paris bandage 6" 3.5Mx15CM Roll 27,609.00
859 Plester of paris Splint on a roll 4 in x 20 ft Buah 1,498,200.00
860 Plester of paris Splint on a roll 5 in x 20 ft Buah 1,648,020.00
861 Poli Aid 1 Liter LA Botol 123,723.00
862 Polypropylene Tubing connector Buah 21,889.00
863 Popok Habis Pakai Dewasa L Buah 4,750.00
864 Popok Habis Pakai Dewasa M Buah 6,494.00
865 Porcelain Primer Set 890,366.40
866 Ported catheter with wing NO 18G Buah 12,100.00
867 Ported catheter with wing NO 20G Buah 12,100.00 250
870 Ported catheter with wing NO 26G Buah 13,750.00
871 Pot Dahak (60 ml) Buah 4,850.00
872 Pot Plastik 100 ml Buah 1,100.00
873 Pouces Sterilization Flat 15 cm X 200 m Roll 1,266,000.00
Pouces Sterilization Flat 7,5 cm X 200 m
874 roll 705,000.00
(Stericlin)
Pouces Sterilization Gussette 20x5 cm
875 roll 1,271,000.00
(Stericlin)
Pouces Sterilization Gussette 25x6,5 cm
876 roll 1,542,000.00
(Stericlin)
Pouches Sterilization Flat 20 cm x 200 m
877 Roll 1,538,000.00
(Stericlin)
878 Povidon Iodida 5000 ml (Braunol) Botol / 5L 660,000.00
Povidon iodida larutan 10 % 1000 ml
879 Botol 1000 ml 135,000.00
(Stardine)
880 Povidon iodida larutan 10 % 300 ml (BMPH) Botol 300 ml 18,000.00
Povidon iodida larutan 10 % 60 ml (Betadine

881 Botol 60 ml 23,890.00
Sol)
882 Power 0 Buah 5,073.75
883 Power Chain Closed Short Roll 792,000.00
Proximal Femoral Locking Plate 06 Holes
884 Buah 6,600,000.00
Titanium
885 Pumice (Ultrapro FX Prophy Paste) Buah 68,063.00
886 Rapid Test HBsAg Buah 9,878.00
887 Rapid Test HIV 1 Check Device Kit 14,877.00
888 Rapid Test HIV 1/2 (ONCOPROBE) Kit 22,386.00
889 Rapid Test HIV 1/2 (SD) Kit 14,344.00
890 Rapid Test HIV 1/2 Intec Sachet 14,300.00
891 Reservoir bag no 0,5 Buah 179,273.00
Respiratory Gas Humidifier 350 ml (E Care
894 Botol 36,000.00
Steriflo)
897 Round Bur 1 mm (HighSpeed) Buah 27,500.00

898 Safety box 12,5 Liter Buah 35,490.00
899 Safety Box 2 liter (Oborsave) Buah 13,800.00
900 Safety Box 5 liter Buah 25,947.21
901 Safil Violet 0 (3.5) 90 CM HR40S (M) Sachet 94,765.00
902 Safil Violet 0 (3.5) 90 CM HS40S (M) Sachet 93,975.00
903 Safil Violet 1 (4) 90 CM HR48 (M) Sachet 99,550.00
904 Safil Violet 4/0 (1.5) 45CM DS19 (M) Sachet 75,920.00
905 Safil Violet 4/0 (1.5) 70 CM HR22 (M) Sachet 91,050.00
906 Saniswiss Biosanitizer S 750 ml Botol 350,000.00
907 Saniswiss Biosanitizer S Stetch Wipes Buah 363,000.00
908 Sarung tangan 6.5 steril Pasang 7,872.00
909 Sarung tangan 7 Steril Pasang 9,680.00
910 Sarung tangan 7.5 Steril Pasang 9,680.00
911 Sarung tangan L Ktk/100 46,200.00
912 Sarung tangan M Ktk/100 46,200.00
913 Sarung tangan Nitrile -M Box/100 62,700.00
914 Sarung tangan Nitrile -S Box/100 62,700.00
915 Sarung tangan Nitrile -XS Buah 47,600.00
916 Sarung tangan S Ktk/100 46,200.00
917 Sarung tangan steril panjang/ginekolog Pasang 17,400.00
Semen Band Ortho (Protech Gold Cement
924 kit 2,172,555.00
Kit)
925 Sendok plastik obat Buah 220.00
926 Sikat Gigi Ortho pcs 25,850.00
927 Sistenol Buah 1,650.00
928 Skin Marker (Fine tip) Buah 54,450.00
929 Skin Marker (Regular tip) Buah 54,450.00
930 Skintraksi Adhesive Child Tensoplast STK Buah 145,878.00
931 Slit Knive Buah 232,750.00
943 SNMC Buah 101,495.63
944 Soda Lime Galon 860,000.00
945 Solution Administration Set For Pump Buah 21,780.00
965 Spalk patah tulang ukuran 45 x 7 cm Set/3 Buah 99,000.00
969 Spinal Needle 26 G x 3 1/2" ktk/25 32,000.00
Spons Gelatin Cubicle steril 10 x 10 x 10
971 Buah 12,540.00
mm
Spons Gelatin Cubicle steril 5 x 8 cm
972 Pcs 82,800.00
BBRAUN Lyostypt
Spons Gelatin Cubicle steril 80 x 50 x 10
973 Buah 55,000.00
mm
974 Spray handpiece ujung lurus Buah 531,700.00
975 SS Open Coil Spring Buah 611,600.00
976 Steam Integrator Class 4 Pcs 658,000.00
977 Steam Integrator Class 5 Box 402,226.00
978 Sterilization Agen (Renosem) Box/15 cassette 376,750.00
Sterilization Gusseted Reels
979 Roll 313,500.00
10cmx5cmx100m
980 Roll 454,575.00
15cmx5cmx100m
981 Roll 1,140,700.00
40cmx7,5cmx100m
982 Sterilization test pack for steam (Sterintech) Pack 67,100.00
985 Stomach tube CH. 3.5 Buah 8,841.00
986 Stomach tube CH.05 100 cm Buah 14,080.00
987 Stomach Tube CH.10, 100 cm Pcs 7,700.00
991 Stool Container (Pot Faces) 60 ml Buah 1,497.30
998 Suction connecting tube Buah 29,011.00
999 Suction Tip Saliva/Saliva Ejector Buah 677.00
Sungkup Anestesi (face mask) Anak/
1000 Buah 73,356.00
pediatric/toddle silikon w/ valve
Sungkup Anestesi (face mask) Bayi/infant
1001 Buah 31,900.00
silikon w/ valve
Sungkup Anestesi (face mask) Dewasa
1002 Buah 31,900.00
sedang (Medium Adult ) silikon w/ valve
Sungkup Anestesi (face mask) Dewasa
1003 Buah 31,900.00
Kecil (Small Adult) silikon w/ valve
Sungkup Anestesi (face mask) neonatus
1004 Buah 76,732.00
silikon w/ valve
Surface Disinfectant tiap 100 g

mengandung: 25 g, etanol 94%, 35 g 1-
1005 Gallon 1,130,283.00
propanolol, weeting agent, fragrances
(Mikrozid)
Surface Disinfectant mengandung

1006 benzethonium chloride 0.30% dan isopropan Galon 752,400.00
ol 21% (Stericide)
1007 Surgical Gown Standard Type (Surrem) L Buah 53,856.00
1008 Surgical Gown Standard Type (Surrem) LL Buah 54,912.00
Surgical mask 3 ply plus earloop (Face

1009 Box/50 20,570.00
Masker)
1010 Surgical Mesh 6 cm X 11 cm Buah 158,842.00
1011 Surgical Mesh 7,5 cm X 15 cm Buah 317,685.00
1012 Surgical suction tip Buah 605,838.00
1013 Suture Wire 0,8 Roll 402,325.00
1014 Suture Wire 1,0 Roll 402,325.00
1015 Suture Wire 1,2 Roll 402,325.00
Synthetic Casting ukuran 3 inch (warna biru)
1016 Buah 100,401.00
Delta Lite
1017 T piece Buah 88,000.00
1018 Tabung EDTA 3 cc Buah 1,690.92
1019 Tabung Kimia 4 cc Buah 1,593.90
1020 Tabung Kimia Minicolect 0,5 ml Buah 3,423.42
1021 Tampon Vagina Buah 5,500.00
1022 Tensoplast STK Non Adhesive Adult Buah 228,932.00
1023 Terralin Botol 1,057,329.13
1024 The Delivery Sistem Buble CPAP set 1,296,936.00
1025 Thermal paper 57 x 30 Buah 41,250.00
1026 Thermovent HEPA Buah 103,150.80
1027 Three way stopcock Buah 1,950.00
1028 Three way stopcock w / tube 10 cm Buah 10,450.00
Tibial Lateral Condilar Plate ( TLC ) 11 Holes
1034 Buah 815,223.00
Left
1035 Buah 815,223.00
Right
1036 Buah 815,223.00
Left
1037 Buah 815,223.00
Right
1038 Buah 815,223.00
Left
1039 Buah 815,223.00
Right
1040 Buah 815,223.00
Left
1041 Buah 815,223.00
Right
1042 Buah 815,223.00
Left
1043 Buah 815,223.00
Right
1044 Tip Cleaner 4,8x4,8 cm Buah 22,106.70
1045 Titanium plate dan screw set 5,168,730.00
1046 Torniquet Buah 9,900.00
1047 Torniquet Bayi Buah 23,000.00
1048 Paket 16,335,000.00
Muller
1049 Paket 14,300,000.00
Prosthesis
1050 Tounge Spatel Disposible pak/50 buah 13,125.00
1059 Transofix Buah 3,400.00
Transparan Dressing Infus 6 cm x 7 cm
1060 Buah 2,118.00
(Common)
1061 Buah 5,294.47
(Notch)
1062 Buah 2,461.12
(Leukomed)
Transparan Dressing infus bayi/neonatus
1063 Buah 1,925.00
4,4 cm x 4,4 cm
Transparan Dressing Non Woven Medical
1064 Box 99,744.00
Tape (15 x 500cm)
Transparan Dressing penutup luka lebar
1065 Buah 144,474.00
15cmx5m
Transparan Dressing Post APP 10 cm x 9
1066 Buah 11,731.84
cm
Transparan Dressing Post SC/Hernia 25 cm
1067 Buah 22,302.08
x 9 cm
1068 Transparan Dressing Tape 5 X 500 Buah 84,700.00
1069 Umbilical Cord Clamp Buah 1,300.00
1070 Underpad Buah 4,620.00
1071 Universal Set Set 698,544.00
1072 Universal set drape disposible Set 593,300.00
1075 Urine Bag Buah 5,785.00
1076 Urine collector pediatric Buah 2,310.00
1077 USG Gel 250 ml Botol 12,584.00
1078 Vaginal Speculum M Buah 6,545.00
1079 Vaginal Speculum S Buah 6,545.00
1080 Ventilator Breathing Circuit Adult Buah 110,300.00
1081 Visiomulti Cobra Titanium Guidwire 0.028" Buah 1,168,750.00
1082 White Cup Sample Buah 169.13
1083 White Tip Buah 440.00
1084 Wing Needle 23GX 3/6 Buah 1,400.00
1085 Wing Needle 25 GX3/6 Buah 1,400.00
1086 Wing Needle 27G X 1/2 Buah 1,400.00
1087 Winged Infusion Set no.21 Buah 5,643.00
1088 Wire gigi 0,4 Roll 248,724.00
Wound Irrigation Solution 350 ml (Bbraun
1091 Botol 164,000.00
Prontosan)
1092 Y Connector 15 mm Buah 493,020.00
1093 Yellow Tip Buah 175.70
4-Jan 5-Jan 6-Jan 7-Jan 8-Jan 9-Jan 10-Jan 11-Jan 12-Jan

2
5
6
5
25
10
1800
250

2
10
20
36
12
2 24
96
13
3
3

4
200
100 100
24
24
12
36
5
3500
2500
1000
6
300 300
500
31-Jan
JUMLAH
31-Jan PINJAMAN
0 VONY
0 VONY
0 DERBINA
0 VONY
0 None
0 None
0 None
0 VONY
0 VONY
0 SEPTIAN
0 EPIDAURUS
0 DERBINA
0 VONY
0 EPIDAURUS
0 EPIDAURUS
0 None
0 VONY
0 EPIDAURUS
0 SEPTIAN
0 VONY
0 VONY
0 DERBINA
0 None
0 EPIDAURUS
0 DERBINA
0 DERBINA
0 VONY
0 None
0 DWI
0 None
0 None
0 DWI
0 DWI
0 DWI
0 DWI
0 None
0 VONY
0 DERBINA
0 DERBINA
0 DWI
0 DWI
0 DWI
0 None
0 YULIANTI
0 VONY
0 SIDIK
0 SIDIK
0 None
0 None
0 VONY
0 None
0 None
0 VONY
0 VONY
0 VONY
0 DERBINA
0 None
0 None
0 VONY
0 VONY
0 None
0 None
0 EPIDAURUS
0 VONY
0 VONY
0 SEPTIAN
0 VONY
0 DERBINA
0 None
0 VONY
0 VONY
0 VONY
0 None
0 VONY
0 DWI
0 None
0 None
0 EPIDAURUS
0 None
0 DERBINA
0 VONY
0 None
0 None
0 None
0 VONY
0 VONY
0 None
0 DERBINA
0 DERBINA
0 DWI
0 DWI
0 VONY
0 VONY
0 VONY
0 DWI
0 DERBINA
0 VONY
0 None
0 EPIDAURUS
0 DERBINA
0 None
0 DWI
0 None
0 None
0 None
0 EPIDAURUS
0 VONY
0 None
0 DERBINA
0 None
0 None
0 DERBINA
0 DERBINA
0 None
4 SEPTIAN
0 SEPTIAN
0 SEPTIAN
0 None
0 SEPTIAN
0 EPIDAURUS
0 EPIDAURUS
0 VONY
0 VONY
0 EPIDAURUS
0 VONY
0 YULIANTI
0 None
0 VONY
0 SEPTIAN
0 SEPTIAN
0 EPIDAURUS
0 None
0 VONY
0 DERBINA
0 VONY
0 None
0 None
0 EPIDAURUS
0 None
0 DERBINA
0 VONY
0 None
0 None
0 DWI
0 None
0 None
0 VONY
0 DWI
0 VONY
0 DERBINA
0 None
0 None
0 VONY
0 None
0 DWI
0 None
0 None
0 VONY
0 VONY
0 EPIDAURUS
0 VONY
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
9 SEPTIAN
0 SEPTIAN
0 SEPTIAN
0 SEPTIAN
0 VONY
0 VONY
0 VONY
0 None
0 DERBINA
0 SEPTIAN
0 None
0 VONY
0 EPIDAURUS
0 EPIDAURUS
0 SEPTIAN
0 SIDIK
0 VONY
0 VONY
0 None
0 None
0 None
0 None
0 None
0 DERBINA
0 EPIDAURUS
0 DWI
0 None
0 None
0 None
0 EPIDAURUS
0 VONY
0 VONY
0 VONY
0 VONY
0 None
0 VONY
0 EPIDAURUS
0 DERBINA
0 YULIANTI
0 YULIANTI
0 DERBINA
0 None
0 None
0 None
0 VONY
0 None
0 VONY
0 VONY
0 VONY
0 VONY
0 None
0 VONY
0 VONY
0 DWI
0 VONY
0 VONY
0 None
0 None
0 None
0 DERBINA
0 SIDIK
0 DERBINA
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 SEPTIAN
0 SEPTIAN
0 SEPTIAN
0 None
0 None
0 SEPTIAN
0 DWI
0 None
0 DWI
0 None
0 VONY
0 None
0 DERBINA
10 DERBINA
0 EPIDAURUS
0 VONY
0 YULIANTI
0 None
26 DWI
0 None
0 DWI
0 None
0 DWI
0 DWI
0 DWI
0 DERBINA
0 VONY
0 VONY
0 VONY
0 None
0 DERBINA
0 DERBINA
0 DWI
0 EPIDAURUS
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 VONY
0 None
0 None
0 EPIDAURUS
0 VONY
0 VONY
0 VONY
0 VONY
200 VONY
0 VONY
0 KHAIRANI
0 None
0 None
0 SIDIK
0 KHAIRANI
0 KHAIRANI
0 None
0 EPIDAURUS
0 None
0 None
0 KHAIRANI
0 KHAIRANI
0 KHAIRANI
0 KHAIRANI
0 KHAIRANI
0 YULIANTI
0 YULIANTI
0 None
0 KHAIRANI
0 YULIANTI
0 None
0 KHAIRANI
0 None
0 SEPTIAN
0 DWI
0 None
0 DERBINA
0 KHAIRANI
0 Rudi
0 None
0 DWI
0 DERBINA
0 DERBINA
0 None
0 DWI
0 KHAIRANI
0 EPIDAURUS
0 KHAIRANI
0 KHAIRANI
0 KHAIRANI
0 SEPTIAN
0 None
0 EPIDAURUS
0 KHAIRANI
0 KHAIRANI
0 EPIDAURUS
0 KHAIRANI
0 None
0 YULIANTI
0 DERBINA
0 DWI
0 None
0 KHAIRANI
0 None
0 DERBINA
0 None
0 None
0 None
0 SEPTIAN
0 SEPTIAN
0 SEPTIAN
0 None
0 SEPTIAN
0 None
0 KHAIRANI
0 KHAIRANI
0 DERBINA
0 None
0 DERBINA
0 DERBINA
0 KHAIRANI
0 YULIANTI
0 EPIDAURUS
0 None
0 DERBINA
0 DERBINA
0 None
0 EPIDAURUS
0 KHAIRANI
0 None
0 None
0 None
0 DERBINA
0 DERBINA
0 DERBINA
0 None
0 SIDIK
0 SIDIK
0 SIDIK
0 SIDIK
0 SIDIK
0 SIDIK
0 SIDIK
0 SIDIK
0 DERBINA
0 DERBINA
0 SIDIK
0 None
0 DERBINA
0 None
0 None
0 None
0 DERBINA
0 DERBINA
0 DWI
0 None
0 SIDIK
0 KHAIRANI
0 None
0 KHAIRANI
0 EPIDAURUS
0 MUJAHID
0 None
0 KHAIRANI
0 KHAIRANI
0 None
0 None
0 KHAIRANI
0 KHAIRANI
0 None
0 SEPTIAN
0 None
0 None
0 DWI
0 None
0 SIDIK
0 None
0 SIDIK
0 None
0 None
0 EPIDAURUS
0 KHAIRANI
0 KHAIRANI
0 EPIDAURUS
0 EPIDAURUS
0 None
0 EPIDAURUS
0 KHAIRANI
0 KHAIRANI
0 KHAIRANI
0 None
0 KHAIRANI
0 DWI
0 KHAIRANI
0 EPIDAURUS
0 None
0 None
0 KHAIRANI
0 None
0 KHAIRANI
0 EPIDAURUS
0 KHAIRANI
0 None
0 SIDIK
0 None
0 None
0 KHAIRANI
0 SEPTIAN
0 DERBINA
0 KHAIRANI
0 None
0 SIDIK
0 None
0 DERBINA
0 None
0 KHAIRANI
0 SEPTIAN
0 SEPTIAN
0 None
0 None
0 SEPTIAN
0 None
0 None
0 SIDIK
0 YULIANTI
0 None
0 KHAIRANI
0 YULIANTI
0 None
0 DERBINA
0 DERBINA
0 SIDIK
0 SIDIK
0 None
0 DERBINA
0 KHAIRANI
0 EPIDAURUS
0 EPIDAURUS
0 None
0 KHAIRANI
0 KHAIRANI
0 EPIDAURUS
0 DERBINA
0 None
0 None
0 EPIDAURUS
0 KHAIRANI
0 EPIDAURUS
0 KHAIRANI
0 None
0 None
0 None
0 DERBINA
0 None
0 KHAIRANI
0 YULIANTI
0 DERBINA
0 DERBINA
0 DERBINA
0 YULIANTI
0 DWI
0 None
0 SEPTIAN
0 None
0 None
0 EPIDAURUS
0 KHAIRANI
0 EPIDAURUS
0 None
0 KHAIRANI
0 DWI
0 DWI
0 None
0 None
0 None
0 DERBINA
0 SIDIK
0 DERBINA
0 DWI
0 KHAIRANI
0 None
0 DERBINA
0 YULIANTI
0 DERBINA
0 SEPTIAN
0 None
0 None
0 KHAIRANI
0 DERBINA
0 None
0 None
0 None
0 None
0 KHAIRANI
0 KHAIRANI
0 KHAIRANI
0 None
0 KHAIRANI
0 None
0 None
0 None
0 None
0 None
0 DERBINA
0 None
0 DERBINA
0 KHAIRANI
0 YULIANTI
0 None
0 KHAIRANI
0 None
0 EPIDAURUS
0 None
0 None
0 DERBINA
0 KHAIRANI
0 DWI
0 KHAIRANI
0 DERBINA
0 DERBINA
0 SEPTIAN
0 SEPTIAN
0 YULIANTI
0 YULIANTI
0 DWI
0 EPIDAURUS
0 None
200 YULIANTI
0 None
0 None
0 None
0 None
0 None
0 YULIANTI
0 YULIANTI
0 YULIANTI
0 YULIANTI
0 YULIANTI
0 DERBINA
0 SEPTIAN
0 YULIANTI
0 None
0 None
0 None
0 None
0 EPIDAURUS
0 YULIANTI
0 YULIANTI
0 None
0 YULIANTI
0 YULIANTI
0 None
0 YULIANTI
0 DERBINA
0 DERBINA
0 None
0 None
0 None
0 EPIDAURUS
0 YULIANTI
0 DERBINA
0 YULIANTI
0 None
0 EPIDAURUS
0 None
0 EPIDAURUS
0 EPIDAURUS
0 EPIDAURUS
0 None
0 None
0 KHAIRANI
0 None
0 SEPTIAN
0 DERBINA
0 YULIANTI
0 None
0 None
0 YULIANTI
0 None
0 None
0 YULIANTI
0 None
0 YULIANTI
0 YULIANTI
0 None
0 SIDIK
0 YULIANTI
0 DERBINA
0 DERBINA
0 DERBINA
0 None
0 DERBINA
0 None
0 EPIDAURUS
0 YULIANTI
0 YULIANTI
0 EPIDAURUS
0 DWI
0 None
0 None
0 None
0 YULIANTI
0 YULIANTI
0 DWI
0 None
5 DWI
25 DERBINA
0 YULIANTI
0 None
0 DERBINA
0 DERBINA
0 None
0 VONY
0 None
0 KHAIRANI
0 None
0 VONY
0 KHAIRANI
0 None
0 YULIANTI
0 None
0 KHAIRANI
0 None
0 None
0 None
0 None
0 VONY
0 None
0 None
0 None
0 None
0 None
0 YULIANTI
0 KHAIRANI
0 YULIANTI
0 YULIANTI
0 YULIANTI
0 None
0 None
0 None
0 None
0 None
0 YULIANTI
0 YULIANTI
0 None
0 YULIANTI
0 EPIDAURUS
0 YULIANTI
0 None
0 None
0 YULIANTI
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 YULIANTI
0 YULIANTI
0 None
0 YULIANTI
0 None
0 None
0 None
0 YULIANTI
0 None
0 YULIANTI
0 YULIANTI
0 DERBINA
0 DERBINA
0 None
0 None
0 None
0 YULIANTI
0 YULIANTI
0 YULIANTI
0 YULIANTI
0 None
0 YULIANTI
0 None
0 None
0 DERBINA
0 None
0 EPIDAURUS
0 DWI
0 SEPTIAN
0 None
0 DWI
0 DERBINA
0 None
0 YULIANTI
0 None
0 SEPTIAN
0 SEPTIAN
0 None
0 YULIANTI
0 YULIANTI
0 None
0 None
0 None
0 DERBINA
0 DWI
0 DWI
0 DWI
0 None
0 None
0 SEPTIAN
0 YULIANTI
0 None
0 None
0 None
0 None
0 None
0 None
0 YULIANTI
0 YULIANTI
0 None
0 None
0 DERBINA
0 DERBINA
0 YULIANTI
10 EPIDAURUS
0
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Lina
0 None
0 None
0 Lina
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Lina
0 Lina
0 Lina
0 None
0 None
0 None
0 None
0 None
0 Lina
0 None
0 None
0 None
0 None
0 Rina
0 Rina
0 Rina
0 Rina
36 Rina
12 None
0 None
0 Rina
0 Rina
0 None
0 None
0 None
0 Rina
0 None
0 None
0 Rina
0 None
0 None
24 Rina
0 None
0 Rina
0 None
0 None
0 None
0 None
26 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
96 None
0 None
24 Rina
0 Rina
12 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Rina
0 Rina
0 None
0 None
0 None
0 None
0 None
0 None
0 Rina
0 None
0 None
0 Rina
0 Rina
0 None
0 Rina
0 Rina
0 None
0 None
0 None
0 None
0 None
0 None
49 None
0 None
0 Rina
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Rina
5 Rina
0 None
0 None
0 None
0 None
0 None
0 None
0 Rudi
0 Mujahid
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Mujahid
0 Mujahid
0 Lina
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
3 Mujahid
3 Mujahid
0 None
0 Lina
0 None
0 Mujahid
0 Mujahid
0 Mujahid
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Lina
0 Lina
0 Lina
0 Lina
0 Lina
0 Lina
0 Lina
0 None
0 Mujahid
0 Mujahid
0 Lina
0 None
0 None
0 0
0 None
0 None
0 None
0 None
0 Rudi
0 Rudi
5300 Rudi
0 Rudi
2500 Rudi
1000 Rudi
0 Rudi
6 Rudi
0 None
0 None
0 Lina
0 None
0 None
0 None
0 None
0 None
0 Lina
0 Lina
0 Lina
0 Lina
0 Lina
0 Lina
0 Lina
0 Lina
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 None
0 Mujahid
0 None
0 Mujahid
0 Mujahid
0 None
0 None
0 None
0 None
0 Mujahid
0 Mujahid
0 None
0 Mujahid
0 None
0 Mujahid
0 None
0 None
0 None
0 Rina
0 Rina
0 Rina
0 None
0 None
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 None
0 Mujahid
0 None
0 Mujahid
0 Mujahid
0 Mujahid
0 None
0 None
0 None
0 None
0 Lina
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Rudi
600 Rudi
0 None
0 None
0 None
0 None
0 Mujahid
0 Mujahid
0 None
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Lina
0 Lina
0 Lina
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Rudi
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Mujahid
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Rina
0 None
0 None
0 None
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 0
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Mujahid
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 None
0 None
0 Rudi
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Rudi
0 Rudi
0 Rudi
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 None
0 Rina
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Lina
0 Lina
0 Lina
0 None
0 None
0 None
0 None
0 Rudi
0 None
0 None
0 Rudi
250 Rudi
750 Rudi
300 Rudi
0 Rudi
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Mujahid
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 Rudi
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 None
0 Mujahid
0 Mujahid
0 None
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 Mujahid
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Lina
0 None
0 None
0 None
0 None
0 None
0 Lina
0 None
0 None
0 None
0 None
0 Mujahid
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Mujahid
0 None
0 None
0 Rudi
0 None
0 None
0 None
0 Rudi
0 Rudi
0 None
0 None
0 Rudi
0 None
0 None
0 None
0 None
0 Rudi
0 Mujahid
0 None
0 None
0 None
0 None
0 None
0 None
0 None
0 Rudi
0 Rudi
0 Rudi
0 None
0 None
0 None
0 None
0 None
0 None
0 None
1-Jan 2-Jan 3-Jan
Acetyl cysteine/ N-asetil sistein kapsul 200
1 Kapsul 358.00
mg
Adenosin triposfat disodium tablet 20 mg
2 Tablet 1,885.00
(ATP Dankos/Bio ATP)
Amiodaron injeksi 150 mg/3 ml (Kendaron /
18 Ampul 8,700.00
Tyarit)
Flexpen
Analog Insulin long acting inj 100 UI/ml
29 disposible 3 83,950.00
(Levemir)
ml
Analog insulin mix acting inj 100 UI/ml

Flexpen
(Premix 30% Insulin Aspart dan 70%
30 disposible 3 110,968.00
Protaminated Insulin Aspart (Analogue))
ml
(Novomix)
Flexpen
Analog Insulin mix insulin Inj 100 UI/ml
31 disposible 3 110,968.00
(Humalog mix 25 kwikpen)
ml
Analog Insulin rapid acting Inj 100 UI/ml

32 Pen 87,000.00
(Humalog kwikpen)
Analog insulin rapid acting inj 100 UI/ml, Flexpen

33 vial/cartridge disposible/penfill cartridge disposible 3 87,000.00
(Insulin Aspart (Analogue)) (Novorapid) ml

34 vial/cartridge disposible/penfill cartridge Pen 87,000.00
(Insulin glulisine 100 IU/ml) (Apidra)
Anastesi topikal menganddung Lidokain HCl

36 Tube 5 gr 41,580.00
2.5%; Prilokain HCl 2.5% (Topsy Cream)
Antasida DOEN I tablet kunyah kombinasi

37 Alumunium hidroksida 200 mg dan Tablet 54.00
Magnesium hidroksida 200 mg
Antasida DOEN II suspensi kombinasi

38 Alumunium hidroksida 200 mg/5 ml dan Botol 60 ml 1,995.00
Magnesium hidroksida 200 mg/5 ml
Anti Bakteri DOEN salep kombinasi

39 Basitrasin 500 IU/g dan Polimiksin 10,000 Tube 2,516.80
IU/g
Antimalaria DOEN kombinasi Pirimetamin
43 Tablet 616.00
25 mg dan Sulfadoksin 500 mg
Antimigren tablet kombinasi Ergotamin
44 Tablet 173.00
Tartrat 1 mg dan Kofein 50 mg
Antiparkinson DOEN tablet kombinasi

45 Benserazid 25 mg dan Levodopa 100 mg Tablet 1,030.00
(Levopar)
dermatitis anak (Lactacyd baby)
57 Btl/60 ml 17,823.00

Atrakurium desilat injeksi 50 mg / 5 ml
75 Ampul 19,800.00
(Notrixum)
Atropin (sulfat) tetes mata 0,5 % (C.
76 Botol 5 ml 11,385.00
Tropine)

Benzydamine HCL 7,5 mg/ml (Tantum Verde
84 Botol 23,100.00
Oral Rinse 60 ml)
Betametason krim 0,5 mg/gram (Sebagai

89 Tube 3,350.00
Valerat)
50
5
1
230
JUMLAH KELUAR SELAIN RESEP
31-Jan
0 VONY
0 VONY
0 DERBINA
0 VONY
0 None
0 None
0 None
0 VONY
0 VONY
0 SEPTIAN
0 EPIDAURUS
0 DERBINA
0 VONY
0 EPIDAURUS
0 EPIDAURUS
0 None
0 VONY
0 EPIDAURUS
0 SEPTIAN
0 VONY
0 VONY
0 DERBINA
0 None
0 EPIDAURUS
0 DERBINA
0 DERBINA
0 VONY
0 None
0 DWI
0 None
0 None
0 DWI
0 DWI
0 DWI
1 DWI
0 None
0 VONY
0 DERBINA
0 DERBINA
0 DWI
0 DWI
0 DWI
0 None
0 YULIANTI
230 VONY
0 SIDIK
0 SIDIK
0 None
0 None
0 VONY
0 None
0 None
0 VONY
0 VONY
0 VONY
0 DERBINA
0 None
0 None
0 VONY
0 VONY
0 None
0 None
0 EPIDAURUS
50 VONY
0 VONY
0 SEPTIAN
0 VONY
0 DERBINA
0 None
0 VONY
0 VONY
0 VONY
0 None
0 VONY
0 DWI
0 None
0 None
0 EPIDAURUS
0 None
0 DERBINA
0 VONY
0 None
0 None
0 None
0 VONY
0 VONY
0 None
0 DERBINA
5 DERBINA
a b c d e f g h i
Sub Ins
Sub Ins Farmasi O000000 Tramadol
far1 Farmasi far3 injeksi 50 300 1/10/2019 Ampraha
Ranap & 627 n
Gudang mg/ml
Khusus
Sub Ins
Sub Ins Farmasi O000000 Tramadol
Far1 Farmasi Far3 injeksi 50 177 1/16/2019 Ampraha
Ranap & 627 n
Gudang mg/ml
Khusus
477
0

13 Rekapan Amprahan Ranap Jan 2019

Caricato da

Informazioni sul documento

Descrizione originale:

Copyright

Formati disponibili

Condividi questo documento

Condividi o incorpora il documento

Opzioni di condivisione

Hai trovato utile questo documento?

Questo contenuto è inappropriato?

Copyright:

Formati disponibili

13 Rekapan Amprahan Ranap Jan 2019

Caricato da

Copyright:

Formati disponibili

NO NAMA OBAT SATUAN HARGA

1 Acetyl cysteine/ N-asetil sistein kapsul 200 mg Kapsul 358.00

Analog Insulin mix insulin Inj 100 UI/ml (Humalog mix

Analog insulin rapid acting inj 100 UI/ml, vial/cartridge

Analog insulin rapid acting injeksi 100 UI/ml,

Antasida DOEN II suspensi kombinasi Alumunium

Anti Bakteri DOEN salep kombinasi Basitrasin 500

58 Asam mefenamat tablet 250 mg Tablet 139.00

Drop mengandung Vit A 2000iu, vit B1

141 Dutasterid kapsul lunak 0,5 mg (Avodart) Tablet 4,700.00

Gel mengandung Placenta extract 10 % dan

Kapsul mengandung Besi 24 mg, Seng 12 mg,

Kapsul mengandung Sericocalyx Folium 21,4 %,

380 Larutan hipertonic nasal spray (Sterimar hypertonic) Botol 123,117.50

Larutan mengandung Asam Amino (Asam Amino 6%,

Larutan mengandung Asam Amino (Asam Amino

Larutan mengandung Asam Amino (Asam Amino 79.9

Larutan mengandung Asam Amino (Asam amino 8%)

Larutan mengandung Asam Amino (Kombinasi Asam

Larutan mengandung Asam Amino (Kombinasi Asam

Larutan mengandung Asam Amino 500 ml

Larutan mengandung Karbohidrat (Fructose 120 g,

Larutan mengandung Karbohidrat (Fructose 60 g,

Larutan nutrisi parenteral mengandung: High content

Larutan mengandung NaCL 0,45 % dan glukosa

Larutan mengandung NaCl 0,9 %

538 Pirantel pamoat suspensi 125 mg 10 ml (Convermex) Botol 10 ml 9,700.00

539 Pirantel Pamoat tablet score (base) 125 mg Tablet 289.00

Surface Disinfectant tiap 100 g mengandung: 25 g,

Surface Disinfectant mengandung

1067 Transparan Dressing Post SC/Hernia 25 cm x 9 cm Buah 22,302.08

1068 Transparan Dressing Tape 5 X 500 Buah 84,700.00

28 Ampisilin serbuk injeksi i.m./i.v.1000 mg/vial Vial 4,000.00

Analog insulin mix acting inj 100 UI/ml

Analog Insulin rapid acting Inj 100 UI/ml

Analog insulin rapid acting inj 100 UI/ml, Flexpen

35 Analog Long Insulin Glargine 100 iu (Ezelin) Vial 83,950.00

Anastesi topikal menganddung Lidokain HCl

Antasida DOEN I tablet kunyah kombinasi

Antasida DOEN II suspensi kombinasi

Anti Bakteri DOEN salep kombinasi

Antiparkinson DOEN tablet kombinasi

58 Asam mefenamat tablet 250 mg Tablet 139.00

78 Atropin sulfat injeksi i.m./i.v./s.k. 0,25 mg/ml Ampul 1,595.00

79 Azitromisin kapsul 250 mg Kapsul 3,278.00

88 Betametason krim 0,1 % (Sebagai Valerat) Tube 1,340.00

Betametason krim 0,5 mg/gram (Sebagai

Budesonid respul / cairan inhaler 0,25 mg/ml

Drop mengandung Vit A 2000iu, vit B1

141 Dutasterid kapsul lunak 0,5 mg (Avodart) Tablet 4,700.00

196 Flutikason furoat intranasal spray (Avamys) Botol 107,120.00

Flutikason propionat nebules 0,5 mg

Garam oralit kombinasi nNtrium klorida 0,52

Gel mengandung Placenta extract 10 % dan

208 Gemfibrozil kapsul 300 mg Kapsul 371.00

225 Gliseril guaikolat tablet 100 mg (Guafenesin) Tablet 76.19

226 Gliseril trinitrat injeksi 5 mg/ml (DBL) Ampul 127,500.00

Human insulin intermediate acting inj 100 Dus, 1 Vial @

Human insulin short acting injeksi 100 UI/ml,

Inhaler mengandung Salmeterol 50 mcg;

Injeksi mengandung Fursutiamin HCl 25

Injeksi mengandung Lidokain 2% (HCl) dan

Injeksi Vitamin B Komplek mengandung B1